Which of these impairs oxygen transport and utilization?

Which of these are carcinogens?

The particulate phase is mostly?

What does Nicotine do to metabolism?

When recalling the pharmacokinetics of pharmacology of nicotine and mechanism of tobacco dependence what is the pKa of Nicotine?

Absorption of nicotine from the respiratory tract, buccal mucosa and skin depends on the ___ of the nicotine delivery vehicle.

Pleasure, suppressive appetite

Arousal, cognitive enhancement

Mood modulation, suppress appetite

Memory Improvement

Arousal, suppress appetite

Reduce Anxiety/Tension

Select all that apply: Which of these are signs and symptoms of nicotine withdrawal?

Select all that apply: Which of these are signs and symptoms of nicotine toxicity?

Nausea, vomiting and diarrhea is associated with:

Dysphoric or depressed mood is associated with:

Sweating or increased skin temperature is associated with:

Gastrointestinal disurbance is associated with:

The patient currently has no intention to quit in the next 6 months.

The patient is considering quitting in the next 6 months but has no definite plans.

The patient is planning on quitting in the next month and has attempted to quit in the last 12 months or have made small behavioral changes.

The patient has abstained from smoking for one day to 6 months.

The patient has abstained from smoking for at least 6 months

Which of these impairs oxygen transport and utilization?

What is the first step in assessing the motivational level to quit?

What is the 2nd step in assessing the motivational level to quit?

What is the 3rd step in assessing the motivational level to quit?

What is the 4th step in assessing the motivational level to quit?

What is the 5th step in assessing the motivational level to quit?

True or false: One may relapse up to 11 times before staying quit

Which of the 5A's asks about the history of smoking in the family?

Which of the 5A's talks about the health hazards of current behavior using motivational interviewing techniques?

Which of the 5A's looks at the current commitment to consider changing unhealthy behavior?

Which of the 5A's develops a plan to self manage, change and move toward healthy behavior?

Which of the 5A's follows up to support success and refers to local and national resources?

How often should you ask about tobacco use?

Which of the 5A's talks about tobacco use for every patient?

Which of the 5A's talks to patients about quitting. Individually tailoring messages to patients to explain the benefits of discontinuing smoking?

Which of the 5A's talks to patients about willingness to quit smoking at this point in time?

Which of the 5A's sets up a follow up on a date to increase the likelihood of success?

Which of the 5 R's to motivate smokers to quit smoking does this apply to: encourage self reflection to establish discrepancy

Which of the 5 R's to motivate smokers to quit smoking does this apply to:  Encourage the person to reflect on negative consequences of tobacco use

Which of the 5 R's to motivate smokers to quit smoking does this apply to:  identify benefits of stopping smoking

Which of the 5 R's to motivate smokers to quit smoking does this apply to: encourage patient to think about and discuss barriers to quitting

Which of the 5 R's to motivate smokers to quit smoking does this apply to:  repeat personalized motivational interview at each encounter

What is the rationale for nicotine replacement therapy (NRT)?

Which are some precautions that are associated with NRTs?

What are some contraindications of NRT?

Nicotine Polacrilex gum (Nicorette, Generic) comes in which doses?

If a pt smokes <25 cigs/day or Fagerstrom <7 or 1st cig >30 mins after waking which dose should they be on?

If a pt smoke >25 day OR Fagerstrom >7 OR 1st cig <30 min after waking

When using Nicotine Polacrilix Gum (Nicorette, Generic) furing the weeks 1-6 how often should patient chew one piece of gum?

When using Nicotine Polacrilix Gum (Nicorette, Generic) during the weeks 7-9 how often should patient chew one piece of gum?

When using Nicotine Polacrilix Gum (Nicorette, Generic) during the weeks 10-12 how often should patient chew one piece of gum?

True or false: Pts should avoid eating/drinking acidic beverages after using chewing gum by 15 minutes

What doses does Nicotine Polacrilix Patch (Nicoderm CQ, Generic) come in?

What doses does Nicotine Polacrilix Patch (Nicoderm CQ, Generic) NOT come in?

If a patient wants to be on the patch and smokes <10 cig/day which step program should they be on?

If a patient wants to be on the patch and smokes >10 cig/day which step program should they be on?

What is the recommended initial dosing of Nicotine Patch Therapy for those that smoke <10 cigarettes per day?

What is the recommended initial dosing of Nicotine Patch Therapy for those that smoke 10-20 cigarettes per day?

What is the recommended initial dosing of Nicotine Patch Therapy for those that smoke 21-40 cigarettes per day?

What is the recommended initial dosing of Nicotine Patch Therapy for those that smoke >40 cigarettes per day?

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard)?

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard) if a patient smokes 1st cig >30mins after waking?

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard) if a patient smokes 1st cig <30mins after waking?

True or false: It takes 10 minutes for lozenge to completely dissolve.

True or false: It takes 20-40 minutes for lozenge to completely dissolve.

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard) in the weeks 1-6 one lozenge ever ___ hours?

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard) in the weeks 7-9 one lozenge ever ___ hours?

What is the dosing for Nicotine Polacrilix Lozenge (Nicorette Mini and Standard) in the weeks 10-12 one lozenge ever ___ hours?

In which of these situations are lozenges being used INCORRECTLY?

True or false: Doubling up on lozenges can increase efficacy.

What dose does Bupropion (Zyban) come in?

What is the max dose of Bupropion?

What dose does Chantix (Varenicline) come in?

When using titrations for patient on Chantix (Varenicline) what is the schedule for those on Day 1-3?

When using titrations for patient on Chantix (Varenicline) what is the schedule for those on Day 4-7?

When using titrations for patient on Chantix (Varenicline) what is the schedule for those on Day 8-12?

When should you refer patient to MD before recommending OTC NRT to patients?

When should you refer patient to MD before recommending OTC NRT to patients?

JA, a 22-year-old college student, has been encouraged by her family pharmacist to stop smoking. She tells her family pharmacist that she wants to quit, but she does not want to gain weight right now or to sacrifice her grades as a result of an inability to concentrate during the day. According to the 5 A’s strategy and the Transtheoretical model of change, what is the next step JA’s family pharmacist should take?

Because of the risk of nicotine toxicity, smokers who desire to quit smoking should be strongly advised to stop smoking when nicotine-replacement therapy is used. Patients who still smoke with the use of nicotine-replacement therapy may develop signs of nicotine toxicity. These signs include:

1) Insomnia, palpitation, and vivid dreams.

2) Hypersalivation, nausea, vomiting, and diarrhea.

3) Anger, anxiety, frustration, difficulty concentrating, and restlessness.

How to differentiate from insomnia of nicotine withdrawal?

What component in cigarettes cause drug interactions, CYP450, 1A2 inducers?