Cardiovascular Disorders Case Study 11 Scenario: The time is 1900 hours. You are working in a small, rural hospital. It has been snowing heavily all day, and the medical helicopters at the large regional medical center, 4 hours away by car (in good weather), have been grounded by the weather until morning. The roads are barely passable. WR., a 48 year old construction worker with a 36 pack year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male pattern obesity (beer belly, large waist circumference) and a barrel chest, and he reports a dietary history of high fat food. His wife brought him to the ED after he complained of unrelieved indigestion. His …show more content…
11. One of the housekeeping staff asks you, “If the poor guy can’t smoke, why can’t you give him one of those nicotine patches?” How will you respond? Housekeeping staff is not in a situation where this would be information that they would need to know to perform their job (HIPPA). I would politely say, “Unfortunately, I am unable to discuss the client’s care, but I would be glad to relay information to the client in case he is concerned. The next opportunity that I have, I would provide information to the client about the nicotine patches and why he is unable to use them at this time, just in case he and the housekeeper has had a conversation about it. At that time if he wants to relay the information to the housekeeper he can do so. Nicotine replacement therapy is not generally recommended for pregnant women and persons who have experienced an acute myocardial infarction within 2 weeks, have unstable angina, or have life threatening dysrhythmias. (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011, p. 170) 12. If the patch were to be used later to help him quit smoking, how would it be dosed for him? The nicotine replacement would be dosed high and would taper off over a longer period of time (patches 8 wks or more) to help with craving and withdrawal. The patch allows for a slower delivery of the drug and elimination of the carcinogens and gases associated with tobacco smoke. (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011, p. 170) 13. Before leaving
Given the fact that he has a high dependency on nicotine a combination of the highest strength
Goals of therapy: Is to eliminate nicotine cravings and desire to smoke in 10 weeks.
I assessed her need for quitting and she stated she is very interested in doing so. Patient stated she has tried quitting many times but failed in doing so. She stated she had been looking into e-cigarettes as a potential smoking cessation aid. I explained to her there are still some oral health issues associated with e-cigarettes as the heat and vapor can cause oral tissue damage but overall it would be a new technique and approach in quitting. Showing her that tobacco cessation is a small step-taking process, will hopefully motivate the patient to
The patient is a 44-year-old gentleman who no longer sees an endocrinologist as that office closed. He was last seen here in October of 2014. He had an appointment in April, but showed up late and decided not to stay for this. He did have lab work that he was supposed to do from December, but he never did get this done. He does tell me he continues to work two jobs and finds it very difficult to take good care of himself, he does not eat well. He continues to smoke greater than a half a pack of cigarettes per day.
Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.
It has been trying to aware students about the dangers of drugs and alcohol (Spielman, 2014). This technique is a good way to let students know that doing drugs and alcohol is bad. In the future when someone asks them to do drugs with them, they will not be afraid to say “NO”; which will allow them to live a healthier and longer life. An effective treatment for drug users would be rehabilitation. For a person to want to go to rehab, they have to really want to quit doing drugs in order for it to be effective. In rehab, they learn how to live life without having to use drugs and how to get back on their feet as re-enter society to rebuild their life. As for smokers, nicotine replacement therapy would be good for smokers trying to quit. Nicotine replacement therapy helps reduce the symptom withdraw. Some of the types of nicotine replacement therapy are patches, gum and inhalers. What each of these items does is they provide a certain amount of nicotine. If it is gum, you chew it to release the nicotine and it will be absorbed throughout mouth. As for nicotine patches, it is a patch placed on the skin and it releases the nicotine into the skin. For the inhaler, this one needs a prescription in order to use; this is what it sounds like it is an inhaler. Once you inhale, the nicotine will turn to a vapor and the nicotine spreads throughout the throat and
Nicotine replacements and patches are always in advertisements and pushed in stores. While the ads may make it seem easy to quit with a nicotine replacement, they are not actually effective. Recent studies show that smoking cessation drugs like patches and gums do not effectively stop nicotine cravings.
Jim is 42 years old and has been smoking since he was a young boy and because he started vaping it has helped changed the way he look at smoking and has helped him lose weight. When Jim stated vaping he weighed four hundred pounds and he know weighs three hundred and twenty pounds and is able to do more things now than he was before. Jim was a chain smoker and had tried stopping multiple times but nothing worked, he has now been vaping for a year and half and is much happier. He has started making new types of vapors to help people who want to quit smoking. Even though he has only been vaping for a little over a year he still dedicated to helping people quit smoking and start vaping. Jim has since help seven people quit smoking. The most resent person he helped was diagnosed with cancer and her doctor told her that because she had smoked for so long her lungs had filled with tare, instantly making her look for an alternative. She searched and searched for days looking for an alternative when one of her friends told her about a little place it Desloge called Inno Vape where she meet Jim. Jim told her about how vaping had changed his life and help with his health problem and it instantly made want to try it, after a few months of vaping she went into Inno Vape and found Jim
These can be taken by themselves or with one of the above programs. There are a few prescriptions available: Zyban, Chantix, nasal spray, or an inhalers. The price on these depends on if you have insurance and if they cover it, and how much your copay might be. The success rate from one study shows 36% initially and 30% after one year. There are three options available over the counter: nicotine patch, gum and lozenges. The previous study shows a 23% success rate on the patch, and if you combine this with the prescription, the results are 39% initially and 35.5% after one year. This study also states if you don’t use any program you will have a 5% success rate, but if you combine with one of these replacement therapies your success will triple. (http://www.tobaccofree.org/quitlinks.htm). These products are available in various locations, including supermarkets and drug stores. Walmart sells a generic version of the gum with 170 pieces for $30.98 and the brand name Nicorette for 170 pieces at $57.98. For the patch, they sell their generic version for 14 count at $25.98 and the name brand NicoDerm 14 count at $38.98. With the lozenges, they sell their version with 108 pieces for $30.98 and Nicorette for 81 pieces at $35.37. Several of the manufactures of these products also offer telephone
Purveyors of electric cigarettes may choose a concentration to which they want to intake their nicotine. Most users will choose a concentration of six milligrams to the milliliter, which is slightly less than that of a filtered cigarette. Some users may vaporize nicotine at a whopping 36 milligrams, while others may use three milligrams at a time. The concentration has to to with preference, from person to person. Nicotine may be regarded as a harmful, addictive substance, and its primary role within the usage of such new technology somewhat skews the health effects that would otherwise isolate the usage of the compound. A publication from the US Library of Public Medicine captures the confusion directly, "electronic cigarettes, or e-cigarettes, are growing in popularity, but their safety and efficacy as a smoking cessation aid are not well understood" (Crowley). A study performed regarding cessation of electronic cigarettes performed by the National Institute of Public Health pontificated just how much e-cigarette usage would be required to use enough nicotine for one cigarette, "Assuming a high nicotine delivery of 30 micrograms per puff, it would take ≈30 puffs to deliver the 1 mg nicotine typically delivered by smoking a conventional cigarette." (Grana). Electronic cigarettes, no matter how low a
Over the years, statistics show that smoking cigarettes can cause many serious health issues. These issues compound when the smoker is expecting. Fourteen percent of U.S. mothers smoke while pregnant despite knowing the fact that smoking causes harm to both mother and child. In younger mothers, age 25 and under, that number rises significantly to 20 percent. If a woman smokes then becomes pregnant, she must decide whether or not to quit. Woman are aware that cigarettes are not good for them or their baby, but do they understand the severity of smoking while carrying their unborn child in their womb? In this paper I will evaluate how women who smoke while pregnant are at high risk for early miscarriage, preterm birth, and birth defects. Is smoking a cigarette worth risking the life of your unborn child?
Nicotine withdrawal symptoms include tobacco cravings, headache, nausea, fatigue, drowsiness, insomnia, irritability, anxiety, and depressed mood. Tobacco addiction often takes several tries to quit and a doctor should be seen if needed. According to the National Institute on Drug Abuse a combination of both behavioral interventions and medication to help people quit smoking are more affective then either alone. Behavioral treatments range from self-help skills to counseling, as well as help in identifying high risk situations and how to deal with them. Nicotine replacement treatments like nicotine gum, nicotine patches, lozenges and inhalers can help to relieve withdrawal symptoms. There are now medications that can help with smoking cessation, they can target nicotine receptors in the brain, easing withdrawal and blocking the effects of nicotine
Smoking is the single highest cause of preventable death in America and puts users at significantly greater risk for disease compared to the rest of the population. Tobacco use costs the U.S. more than 289 billion dollars annually in medical expenses and lost productivity (Surgeon General, 2014). The problems associated with smoking are due in part to its addictiveness. Nicotine is the addictive substance found in tobacco and its chemical dependence is as strong as heroin, cocaine, or alcohol (CDC, 2014). Getting all smokers to quit entirely is not realistic due to nicotine’s addictive characteristics.
would like to discuss replacement therapy for tobacco, and the helpful ways of quitting, there are different ways to quit smoking and kicking that nasty habit, to increase your life term. According to the CDC Tobacco use can lead to tobacco/nicotine dependence and serious health problems. Quitting smoking greatly reduces the risk of developing smoking-related diseases and early death. It can lead to lung cancer and many other types of cancer and risk for heart disease, stroke, and peripheral vascular disease (narrowing of the blood vessels outside your heart). (, 2015) There have been different types of therapy to reduce the use of nicotine and tobacco use. Such as medications that’s been approved by your PCP, nicotine patches, and Hypnosis.
The fifth participants Jester, 41 and from London, suffers from asthma and COPD and smoked between 15-20 cigarettes a day. Since completing the study, Jester has felt drastic improvements to his health. Vaping has helped him quit smoking the most and he is currently between 4-0mg of nicotine and continuing to quit altogether. Here's what he has to say: It has been a great wake up call to see how easy it was to quit the habit of over 30 years. I must admit I did not hold out too much faith in vaping at first, but over the last few days with the help of this kit I have managed to pretty much all stop smoking.