pregnant women, smokeless tobacco users, light smokers, adolescents (Fiore, et al) Two categories of pharmaceutical options: Nicotine replacement therapy (NRT) Non-nicotine replacement therapy Nicotine Replacement Therapy (NRT) Non-prescription available over-the-counter Nicotine Patch Nicotine Lozenges Nicotine Gum Nicotine Inhalers Provide nicotine to reduce withdrawal symptoms Take between 1-4 hours to reach maximum blood levels (unlike cigarettes, 7 seconds) Do not cause sudden boost to nicotine blood levels (prevents addiction to product) Dose depends on habits of the smoker but is reduced over a 12 week period Non-nicotine Therapy Bupropion Hydrochloride (Zyban) Also marketed as the anti-depressant medication Wellbutrin Presumed to alleviate cravings associated with nicotine withdrawal affecting noradrenaline and dopamine Varenicline Tartrate (Champix) Targets nicotinic acetylcholine receptors to decrease cravings and withdrawal Clonidine & Nortriptyline Second-line medications used in smoking cessation All of these medications require a prescription Counselling Intensive intervention that last a minimum of 10 minutes Commonly conducted by nurses in various health-care settings Motivational Interviewing Directive and client-centred standard counselling techniques Stages of Change theory Alternative Therapies No clinical evidence to verify results from these treatments Some clients/patients report that they are beneficial (Fiore, et al., 2008) Self-help Most smokers want to quit on their own Self-help material should be provided Based on the health behaviour change model Tailored to specific population Commonly used resources One Step at a Time smoking cessation guide (Canadian Cancer Society) Smokers Helpline Phone Counselling Online Self-help Tips, tools & support Text messaging Supportive messages Benefits of Quitting Its never too late to quit smoking and experience the benefits Immediate Rewards: Improved health Stop worrying about quitting Food will taste better Set a good example for children Improved sense of smell Have healthier babies and children Feel better about yourself Feel better physically Breath, home and car will smell better Reduce wrinkling/aging of skin Key Points Smoking causes many chronic illnesses and death Nurses play an important role in helping patients/clients to quit smoking There are effective treatment options to help people quit smoking There are considerable immediate and long-term benefits to smoking cessation

If you feel you won an item, and it is not shown, contact the equip-bid office by 9:00 a.m
Non-members incur a $3.99/bottle return fee, 1 time per order
Tuning: Standard (6 String): E, A, D, G, B, E
Steroid ointments, which can offer pain relief and anti inflammation (youll need a prescription for some of these)
Pennsylvania has three types of licenses with distinct applications you can complete using PA-100 along with payment of the application fee, which are: Retailer license ($25 per location) Vending machine license ($25 per location) Wholesaler & Manufacturer license ($1,500 per location) Philadelphia retailer permit (if applicable) You must renew your license electronically using the Department of Revenues Pennsylvania Tax Hub (PATH) as of November 2022