nicotine tobacco dependence
TRANSCRIPT
-
8/13/2019 Nicotine Tobacco Dependence
1/29
Tobacco dependence
Dr Keli
-
8/13/2019 Nicotine Tobacco Dependence
2/29
The voyage of discovery isnot in seeking new
landscapes, but in having neweyes.
Marcel Proust
-
8/13/2019 Nicotine Tobacco Dependence
3/29
NATIONALLY, TOBACCO KILLS MOREAMERICANS EACH YEAR THAN...
TOBACCO434,000
TOBACCO TOTAL: 487,000
AIDS 31,000
FIRE 4,000
CAR 25,000
HEROIN 2,400HOMICIDE22,000
SUICIDE 31,000
COCAINE 3,300
ALCOHOL 105,000
SECOND-HANDSMOKE53,000
Others TOTAL: 233,700
-
8/13/2019 Nicotine Tobacco Dependence
4/29
Goal #1:Prevent initiation
of the use oftobacco productsamong youth and
youth cessation
-
8/13/2019 Nicotine Tobacco Dependence
5/29
Whats in a Cigarette?
Nicotine.Used in bug spray, insecticide. Tar. Gives cigarettes flavor. The average
smoker inhales about one cup of tar a year. Thetar may stick and stay in the lungs for a longtime.
Formaldehyde. Preserves dead animals. Cyanide.Main ingredient in rat poison. Lead. Found in some kinds of paint. Acetone. Common ingredient in paint and nail
polish remover. Ammonia. Found in many household cleaners. Carbon monoxide. A common pollutant that
escapes from the exhaust in cars.
Hydrazine.Used in jets and rocket fuel.
-
8/13/2019 Nicotine Tobacco Dependence
6/29
Whats in Spit Tobacco
Nicotine
Polonium 210 (nuclear waste)
Radioactive elements Formaldehyde (embalming fluid)
Cancer-causing chemicals
-
8/13/2019 Nicotine Tobacco Dependence
7/29
-
8/13/2019 Nicotine Tobacco Dependence
8/29
-
8/13/2019 Nicotine Tobacco Dependence
9/29
Goal #2:
Increase cessation oftobacco use amongadults
-
8/13/2019 Nicotine Tobacco Dependence
10/29
Goal #3:Reduce exposure of youth andadults to secondhand smoke
-
8/13/2019 Nicotine Tobacco Dependence
11/29
4,000 chemicals - including cyanide, formaldehyde andarsenic
50 cancer-causing agents
Increases the risk of respiratory infections, heartdisease, and cancer of the lungs, pancreas, kidney,bladder, cervix, breast and brain
Causes approximately 53,000 deaths in the U.S. annually
A portion of childhood respiratory diseases and theirassociated illnesses may be preventable by decreasing oreliminating SHS
-
8/13/2019 Nicotine Tobacco Dependence
12/29
Secondhand Smokeand Children
Coughing Phlegm production Colds Sore throats Sudden Infant Death
Syndrome (SIDS) Ear infections Asthma Bronchitis Pneumonia
-
8/13/2019 Nicotine Tobacco Dependence
13/29
Goal #4:
Increase outreach todisparately affected
populations NACADA
-
8/13/2019 Nicotine Tobacco Dependence
14/29
NICOTINE ADDICTION!!!
-
8/13/2019 Nicotine Tobacco Dependence
15/29
-
8/13/2019 Nicotine Tobacco Dependence
16/29
-
8/13/2019 Nicotine Tobacco Dependence
17/29
-
8/13/2019 Nicotine Tobacco Dependence
18/29
-
8/13/2019 Nicotine Tobacco Dependence
19/29
Nicotine Increases pleasure feeling.
Increases motivation. Increases concentration.
Decrease stress and angry feelings.
Is a tool to make awkward social situationsbetter.
-
8/13/2019 Nicotine Tobacco Dependence
20/29
Nicotine Facts
Nicotine has a half life of 20 minutes
Every morning individuals often have minoreffects due to no tobacco all night
Nicotine goes to the lungs first, then hits the
brain in 10 seconds
Acts as a stimulant and a depressant
-
8/13/2019 Nicotine Tobacco Dependence
21/29
NeurotransmittersNicotine interferes with
Dopamine
Serotonin
Norepinephrine
GABAAcetylcholine
Endorphins
-
8/13/2019 Nicotine Tobacco Dependence
22/29
Its All About Quitting?
-
8/13/2019 Nicotine Tobacco Dependence
23/29
Stages of Behavior Change
Pre-contemplation No Contemplation On the Fence
Preparation - Yes Action GO! Maintenance Cruising Regression/Relapse Ugh
-
8/13/2019 Nicotine Tobacco Dependence
24/29
Quit Rates
Quitting without assistance: 3%
Clinician advice to quit: 5-10%
Pharmacological Treatment: 20-25%
Telephone counseling: 20-30%Similar to group counseling
-
8/13/2019 Nicotine Tobacco Dependence
25/29
Benefits of Quitting20 minutes Blood pressure and pulse rate decrease
8 hours Carbon monoxide and oxygen levels in blood return to
normal
1 day The likelihood of a heart attack decreases
2 days Nerve endings regenerate; sense of smell and taste are
enhanced
2 weeks Circulation improves and lung function increases
1 9 months Coughing, sinus congestion, fatigue and shortness of
breath decrease
1 year The likelihood of a heart attack is cut in half
5 years Stroke risk is reduced to the same levels as a non-smoker
10 years Risk of dying from lung cancer is about half that of a
current smoker
15 years Risk of coronary heart disease and death become
roughly equivalent to those who have never smoked
-
8/13/2019 Nicotine Tobacco Dependence
26/29
How Long Does It Take?
Make take several months for body to startmaking chemicals again around 6 months
May feel: Depressed Fidgety Anxious Very aggressive
Lethargic
Easy to relapse during this timeHigh potential for relapse if on other drugs (alcohol)
-
8/13/2019 Nicotine Tobacco Dependence
27/29
What Can You Do?
Be supportive and encouraging
Be patient
Educate
Find out resources i.e. NACADA
Seek out others to helpNever give up on them
-
8/13/2019 Nicotine Tobacco Dependence
28/29
Nicotine dependenceMay respond to replacement therapy gum
/transdermal patches
Bupirion also effective
Clonididne used
-
8/13/2019 Nicotine Tobacco Dependence
29/29
We must be the change wewish to see in the world.
Mahatma Gandhi