USMLE Forum Archives - USMLE Step 3 - Pr Med: Smoking Cessation
Pr Med: Smoking Cessation
meduploader - 05-16-09 13:46
At first visit, ask patient for tobacco use.
(The USPSTF strongly recommends that clinicians screen all adults for tobacco use and provide tobacco cessation interventions for those who use tobacco products and that clinicians screen all pregnant women for tobacco use and provide augmented pregnancy-tailored counseling to those who smoke )
Counsel all patients about smoking cessation at least during first visit and then, at each follow-up visit.
Repeated encouragement is important
Some Important Benefits of Smoking cessation :
In COPD patients , After 5 years, smoking cessation produced a reduced decline in FEV1
Reductions in fatal and nonfatal cardiovascular disease and coronary heart disease.
Reduces the overall mortality
Reduces the incidence of lung cancer
Smoking cessation during 1st trimester pregnancy can substantially reduce the number of pre-term births.
Drug interventions : These interventions are aimed to reduce the withdrawl symptoms in a patient who has strong intention to quit smoking
Bupropion for 8 to 12 weeks. Ask the patient set a smoking cessation date for about 1 week after starting therapy
Nicotine replacement therapy : Several preparations available eg: transdermal patch, nicotine gum, nicotine nasal spray, and nicotine inhalers. There is no difference between these preparations in their effectiveness. Started on highest dose and then tapered off over several weeks.
Varenecline : New drug that’s been shown to be effective in smoking cessation by reducing craving and curbing the desire to smoke.
meduploader - 05-16-09 13:46
At first visit, ask patient for tobacco use.
(The USPSTF strongly recommends that clinicians screen all adults for tobacco use and provide tobacco cessation interventions for those who use tobacco products and that clinicians screen all pregnant women for tobacco use and provide augmented pregnancy-tailored counseling to those who smoke )
Counsel all patients about smoking cessation at least during first visit and then, at each follow-up visit.
Repeated encouragement is important
Some Important Benefits of Smoking cessation :
In COPD patients , After 5 years, smoking cessation produced a reduced decline in FEV1
Reductions in fatal and nonfatal cardiovascular disease and coronary heart disease.
Reduces the overall mortality
Reduces the incidence of lung cancer
Smoking cessation during 1st trimester pregnancy can substantially reduce the number of pre-term births.
Drug interventions : These interventions are aimed to reduce the withdrawl symptoms in a patient who has strong intention to quit smoking
Bupropion for 8 to 12 weeks. Ask the patient set a smoking cessation date for about 1 week after starting therapy
Nicotine replacement therapy : Several preparations available eg: transdermal patch, nicotine gum, nicotine nasal spray, and nicotine inhalers. There is no difference between these preparations in their effectiveness. Started on highest dose and then tapered off over several weeks.
Varenecline : New drug that’s been shown to be effective in smoking cessation by reducing craving and curbing the desire to smoke.
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Re: Pr Med: Smoking Cessation mtniharika - 10-06-09 02:45 The immediate effects of smoking cessation include:
Within 20 minutes blood pressure returns to its normal level
After 8 hours oxygen levels return to normal
After 24 hours carbon monoxide levels in the lungs return to those of a non-smoker and the mucus begins to clear
After 48 hours nicotine leaves the body and tastebuds are improved
After 72 hours breathing becomes easier
After 2 to 12 weeks, circulation improves
After 5 years, the risk of heart attack falls to about half that of a smoker
After 10 years, the chance of lung cancer is almost the same as a non-smoker.
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