What is the primary purpose of nicotine gum?
Aids in smoking cessation by providing an alternative source of nicotine
Each piece provides nicotine for approximately 30 minutes.
How long does each piece of nicotine gum provide nicotine?
Approximately 30 minutes
Users will likely require several pieces each day early in their cessation effort.
What should patients do with the gum after chewing it briefly?
Park the gum next to the buccal mucosa until it is depleted
This method helps in the gradual release of nicotine.
True or false: Patients can safely combine nicotine gum with other sources of nicotine, such as the patch.
FALSE
Combining nicotine gum with other sources of nicotine increases the risk of nicotine overdose.
Patients with depressive symptoms or recent suicidal thoughts should avoid which medications used in cessation?
- Buproprion
- Varenicline
No such caution exists for nicotine gum.
Rare but serious disorder that appears as a skin rash and potential adverse effect of Lamictal- anti convulsant meds
Steven-Johnson
What is the effect of chronic alcohol use on the number of platelets and mean corpuscular volume (MCV)?
- Decreased number of platelets
- Increased mean corpuscular volume (MCV)
Alcohol interferes with platelet production and can lead to thrombocytopenia.
Patients with alcoholism are at higher risk for what condition due to decreased platelet production?
Bleeding
Diminished fibrinolysis results in thrombocytopenia.
What metabolic condition can result from alcohol’s effect on lipid metabolism in the liver?
Hypertriglyceridemia
Alcohol affects lipid metabolism, leading to increased triglyceride levels.
True or false - alcoholism can increase AST and ALT because of liver inflammation
True 
Female athlete triad
Amenorrhea, premature osteopenia or osteoporosis disorder eating 
Most likely to cause erectile dysfunction
Paroxetine
Screening tool used for alcohol disorder
AUDIT, CAGE, T-ACE
Screening tool for PTSD
PCL-5
What is Duloxetine (Cymbalta) classified as?
A selective norepinephrine reuptake inhibitor (SNRI)
Used for depression, chronic anxiety, and management of diabetic peripheral neuropathy.
Which medications are classified as atypical antipsychotics?
- Quetiapine (Seroquel)
- Olanzapine (Zyprexa)
These medications are not indicated for peripheral neuropathy.
What type of medication is Escitalopram (Lexapro)?
A selective serotonin reuptake inhibitor (SSRI)
Used for depression and generalized anxiety disorder, but not for peripheral neuropathy.
True or false: Duloxetine (Cymbalta) is indicated for the management of diabetic peripheral neuropathy.
TRUE
It is specifically used for this condition among others.
Patients prescribed a monoamine oxidase inhibitor (MAOI) should avoid what substance?
Alcohol
Alcohol contains tyramine, which can lead to severely elevated blood pressure and increased risk for stroke when taken with an MAOI.
What can result from the consumption of tyramine while taking an MAOI?
Severely elevated blood pressure and increased risk for stroke
This interaction is critical and must be communicated to patients.
True or false: Insomnia and anorexia are common side effects of selective serotonin reuptake inhibitors.
TRUE
However, occasional difficulty sleeping and recent poor appetite do not indicate imminent risk for the patient.
Fill in the blank: Patients taking an MAOI should avoid foods containing _______.
tyramine
Tyramine can cause dangerous interactions with MAOIs.
Screening tool for depression
PHQ-2
GAD-7
Generalized Anxiety Disorder
