Pharmacy Services North Glasgow Trained Nurses Induction Talk.
Generic pharmacy talk
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Transcript of Generic pharmacy talk
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The Pharmacist’s Role in Ending the Tobacco
Pandemic
Alan Blum, MDAuburn University
Harrison School of Pharmacy February 18, 2011
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DEATHS FROM CIGARETTE SMOKING IN US SINCE 1964
12,000,000
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Smoking Prevalence
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CAUSES OF DEATH
1. Heart disease2. Cancer3. Stroke4. COPD5. Accidents6. Diabetes
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MARLBORO’S MYOCARDIAL MAYHEM
• ↑ oxygen demand• ↓ angina threshold• ↓ exercise performance• ↑ recurrent infarction
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CAMEL’S CORONARY CONSEQUENCES
• Adverse lipid profile• Altered hematologic factors• Direct arterial wall effects• Elevated blood pressure
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Cancer Death Rates for Men, US, 1930-2005
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Cancer Dea th Ra tes fo r Women, US , 1930 -2005
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COPD
• 5% of US population• 80% caused by smoking• 4th leading cause of death
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DIABETES:
3x Cardiovascular Mortality
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SMOKING + DIABETES:
11x Cardiovascular Mortality
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OTHER TOBACCOGENIC PROBLEMS
• Osteoporosis• Hip fractures• Early menopause• Macular degeneration• Peptic ulcer disease
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SECONDHAND SMOKE
• Lung cancer: 3,000 deaths/year• Heart disease: 40,000 deaths/year• Asthma: 2 million visits/year
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SMOKING IN PREGNANCY
• Low birthweight• Preterm labor• Spontaneous abortion• Abruptio placenta• Placenta praevia• Premature rupture of membranes
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EFFECTS ON CHILDREN
• SIDS• Asthma• Bronchitis• Otitis media• Pneumonia
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INFLUENCES
• Peers• Parents• Propaganda
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SMOKING CESSATION
• 44.5 million smoke• 77% want to stop• 40% try each year• 5% succeed
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MARKERS OF ADDICTION
• >20 Cigarettes /day• Smoke upon awakening• Psychiatric condition• Alcohol dependence
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BEHAVIOR MODIFICATION• Identify situations• Choose oral substitutes• Do five-minute plan:
PostponeInhaleReconsider
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SMOKING’S MYTHS
•Relieves stress•Keeps weight down•Low-tar, filters, are safer
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THE PRODUCT
•Filter•Low tar•Lights•Menthol
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MONEY LOST
Number of packs/dayx Cost/packx 365 days/yearX Number of years smokingTotal cash lost (plus interest)
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INHALATION COUNT
Number of cigarettes/dayx 10 inhalations/cigarettex 365 days/yearx Number of years smokingTotal inhalations
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BENEFITS OF STOPPING
• 1 day: ↓ MI risk• 1 year: ↓ Stroke risk 50%• 10 years: Stroke risk of non-smoker• 15 years: CHD risk of non-smoker
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COSMETIC BENEFITS
• Fresher breath, clothing• Whiter teeth, nails• Endurance
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NICOTINE REPLACEMENT THERAPY
• Gum (Nicorette)• Transdermal patch (Nicoderm)• Inhaler (Nicotrol)• Lozenge (Commit)• Electronic cigarette?
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ADJUNCTIVE PHARMACOTHERAPY
• Bupropion• Clonidine• Nortriptyline• Verenicline• Rimonabant
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SMOKING PREVENTION
• Increase cigarette taxes• Restrict teen access• Clean indoor air laws• Ban advertising• Educate on TV, radio, internet
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SHIFTING THE FOCUS
• Substance → Product• Effects → Promotion• User → Pusher
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AMERICAN TOBACCO COMPANIES
1. Philip Morris USA2. Reynolds-American Inc.3. Lorillard Inc.4. United States Smokeless Tobacco5. Liggett Vector Brands Inc.6. Swedish Match7. Imperial Tobacco
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CANCER’S 7 WARNING SIGNS
1. Philip Morris USA2. Reynolds American Inc3. Lorillard Inc.4. United States Smokeless Tobacco5. Liggett Vector Brands Inc.6. Swedish Match7. Imperial Tobacco
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Alan Blum, M.D.Professor and Gerald Leon Wallace Endowed
Chair in Family Medicine, College of Community Health Sciences, School of Medicine, The University of Alabama
Director, The University of Alabama Center for the Study of Tobacco and Society
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STRATEGIC WEAPONS
•Map•Calendar•Camera
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Alan Blum, M.D.Professor and Endowed Chair in Family
Medicine, The University of Alabama
Director, The University of Alabama Center for the Study of Tobacco and Society