BIOL 3051 Lecture Notes - Lecture 16: Smoking Cessation, Chronic Obstructive Pulmonary Disease, Modes Of Mechanical Ventilation
Document Summary
Understand the principles of smoking cessation in respiratory disease, and be able to describe effective interventions and resources to patients. Principles: assess and document smoking status of every patient, provide sc intervention to all smokers, treat behavioural/psychological aspects of cigarette addiction with advice and counselling. If smoking: review circumstance, remind patients, identify problems, re- assess choice of pharmacologic intervention, consider referral. 9 qd x 6 wks, then q4-8h x 3 wks. 8 weeks, 1-4 wks on highest dose, then taper. Rx, /10 ml (max nicotine levels reached in 5-10mins) Nicotine nasal spray (most closely mimics nicotine delivery pattern of cigarette) Nicotine inhaler rx, /168 sprays (peak nicotine levels in 20 mins) 150 mg x 3 d, then 150 mg qd or bid. 0. 5 mg qd x 3 d, then 0. 5 mg bid x 4 d, then. Clinical evaluation of copd patients: quantify tobacco consumption, assess severity of breathlessness using medical research.