Smoking Cessation
Program Parts:
Instruction
Group [blank_start]Counseling[blank_end]
[blank_start]Nicotine[blank_end] Replacement
Supplemental [blank_start]O2[blank_end]
Pulmonary [blank_start]Rehab[blank_end]
Behavior [blank_start]Modification[blank_end]
[blank_start]Stress[blank_end] reduction
Compliance:
Measured by [blank_start]COHb[blank_end] levels in blood
[blank_start]Exhaled[blank_end] CO levels
[blank_start]Cotine[blank_end] in blood / urine.
Medications:
Bupropion hydrochloride – [blank_start]Zyban[blank_end]/Wellbutrin. Reduces [blank_start]withdrawal[blank_end].
Vareniclin – [blank_start]Chantix[blank_end]. Reduces [blank_start]cravings[blank_end].
Answer
Counseling
Nicotine
O2
Rehab
Modification
Stress
COHb
Exhaled
Cotine
Zyban
withdrawal
Chantix
cravings
Question 2
Question
Pulmonary Rehab
Objectives: [blank_start]Alleviate[blank_end] or control as many symptoms. Maximize [blank_start]ability[blank_end] to do ADL
Long Term benefits:
Reduced severity of [blank_start]dyspnea[blank_end]
Improve [blank_start]ability[blank_end] to perform ADLs
[blank_start]Increased[blank_end] physical capacity
Decrease [blank_start]frequency[blank_end] of hospitalizations
[blank_start]Decrease[blank_end] HR, resting and during exercise
[blank_start]Increase[blank_end] sputum clearance
Improve [blank_start]diaphragmatic[blank_end] breathing
Improve [blank_start]appetite[blank_end]
Not intended to normalize [blank_start]ABG[blank_end] or [blank_start]PFT[blank_end]s
Answer
Alleviate
ability
dyspnea
ability
Increased
frequency
Decrease
Increase
diaphragmatic
appetite
ABG
PFT
Question 3
Question
Pulmonary Rehab
[blank_start]Pursed[blank_end] Lip Breathing Technique
Pt upright or in semi fowlers
Inhale slowly through [blank_start]nose[blank_end]
Purse [blank_start]Lips[blank_end] and [blank_start]passively[blank_end] exhale
Why: Increases tidal [blank_start]volume,[blank_end] decreases [blank_start]respiratory[blank_end] rate, decreases [blank_start]alveolar[blank_end] collapse, prolongs slow exhalation.
Most beneficial with [blank_start]emphysema[blank_end]
Answer
Pursed
nose
Lips
passively
volume,
respiratory
alveolar
emphysema
Question 4
Question
Pulmonary Rehab
Diaphragmatic Breathing Technique
Relax [blank_start]Shoulders[blank_end] and [blank_start]chest[blank_end]
Condition (abs, lower chest)
[blank_start]Combine[blank_end] with pursed lip breathing
Abdomen rises on inspiration
Why: Improves efficiency of [blank_start]ventilation[blank_end]. Reduces the O2 [blank_start]cost[blank_end] of breathing
[blank_start]Exercise[blank_end] Conditioning
Segmental [blank_start]Breathing[blank_end]
[blank_start]Upper[blank_end] Body exercises
Walking