Embedded Files
Fagerstrom Test for Nicotine Dependence
Fagerstrom Test for Nicotine Dependence
How soon after you wake up do you smoke your first cigarette?
After 60 minutes (0pts)
31-60 minutes (1pts)
6-30 minutes (2pts)
Within 5 minutes (3pts)
Do you find it difficult to refrain from smoking in places where it is forbidden?
No (0pts)
Yes (1pts)
Which cigarette would you hate most to give up?
The first in the morning (1pts)
Any other (0pts)
How many cigarettes per day do you smoke?
10 or less (0pts)
11-20 (1pts)
21-30 (2pts)
31 or more (3pts)
Do you smoke more frequently during the first hours after awakening than during the rest of the day?
No (0pts)
Yes (1pts)
Do you smoke even if you are so ill that you are in bed most of the day?
No (0pts)
Yes (1pts)
Interpretation
0-2 VERY LOW DEPENDENCE- MAY ONLY NEED COUNSELING
3-4 LOW DEPENDENCE - MAY ONLY NEED COUNSELING
5 MEDIUM DEPENDENCE - MAY NEED MEDICATION
6-7 HIGH DEPENDENCE - DEFINITELY NEEDS MEDICATION
8-10 VERY HIGH DEPENDENCE - DEFINITELY NEEDS MEDICATION
Smoking and Vaping: Is there a difference?
Smoking and Vaping: Is there a difference?
Cigarette smoking
Cigarette smoking
vaping
vaping
Cigarette smoke is composed of water, nicotine alkaloids, tar and a deadly mix of more than 7,000 chemicals, hundreds of which are toxic, and about 70 are carcinogenic. Some of the chemicals are familiar to us like the following:
Acetone—found in nail polish remover
Acetic acid—an ingredient in hair dye
Ammonia—a common household cleaner
Arsenic—used in rat poison
Benzene—found in rubber cement and gasoline
Butane—used in lighter fluid
Cadmium—active component in battery acid
Carbon monoxide—released in car exhaust fumes
Formaldehyde—embalming fluid
Hexamine—found in barbecue lighter fluid
Lead—used in batteries
Naphthalene—an ingredient in mothballs
Methanol—a main component in rocket fuel
Nicotine—used as an insecticide
Tar—material for paving roads
Toluene—used to manufacture paint
Sources: What's In a Cigarette? | American Lung Association
Microsoft Word - CPG TOHAP Final 3.6.2018 for printing LLM.docx (philchest.org)
Contents of vape smoke vary depending on the "e-juice" used by the manufacturer but usually contains flavoring, propylene glycol, nicotine and other toxic chemicals once heated
Nicotine – a highly addictive substance that negatively affects adolescent brain development
Propylene glycol – a common additive in food; also used to make things like antifreeze, paint solvent, and artificial smoke in fog machines
Carcinogens- chemicals known to cause cancer, including acetaldehyde and formaldehyde
Acrolein – a herbicide primarily used to kill weeds, can cause irreversible lung damage
Diacetyl – a chemical linked to a lung disease called bronchiolitis obliterans aka "popcorn lung"
Diethylene glycol – a toxic chemical used in antifreeze that is linked to lung disease
Heavy metals such as nickel, tin, lead
Cadmium – a toxic metal found in traditional cigarettes that causes breathing problems and disease
Benzene – a volatile organic compound (VOC) found in car exhaust
Ultrafine particles that can be inhaled deep into the lungs
Sources: What's in an E-Cigarette? | American Lung Association
IS SMOKING “JUST A HABIT” OR ARE YOU ADDICTED? Take the quiz!
IS SMOKING “JUST A HABIT” OR ARE YOU ADDICTED? Take the quiz!
Bad effects of Smoking on the body
Bad effects of Smoking on the body
What happens to you after you stop smoking?
What happens to you after you stop smoking?
After 20 minutes, your blood pressure, temperature and pulse rate return to normal.
After 8 hours, the Carbon monoxide and oxygen levels normalize in your blood.
After 24 hours, your risk of heart attack decreases and toxins start to be cleared out.
After 48 hours, your taste and smell come back to normal.
After 72 hours, your lung muscles relax and breathing becomes easier.
After 3 months, your blood circulation improves.
After 9 months, your coughing and shortness of breath decreases. Sinus congestion and fatigue decreases.
After 1 year, your risk of coronary heart disease decreases by 50%.
After 10 years, your risk of cardiovascular disease and stroke decreases to near non-smoker levels. Risk of cancer decreases to half.
Source: Quitting Smoking: What Happens When You Quit Smoking (webmd.com)
Is it ever too late to quit smoking?
Is it ever too late to quit smoking?
If you stop smoking by at least 30 years old, gain almost 30 years of life expectancy.
If you stop smoking by at least 40 years old, gain 9 years of life expectancy.
If you stop smoking by at least 60 years old, gain 3 years of life expectancy.
Even if you develop a life-threatening disease like a heart attack, quitting smoking reduces chances of having another heart attack by 50%.
Source: Philippine Clinical practice guidelines, Diagnosis and treatment of tobacco use and dependence 2017
Figure shows the natural history of chronic airflow obstruction for a 25 year old man who picks up smoking and the benefits in preventing disability and death if he never smokes, stops smoking at 45 and at 65 compared to not stoping smoking at all.
Questions to ask yourself if you are a smoker
Questions to ask yourself if you are a smoker
Questions have incredible, almost magical powers, when used correctly. Questions have the power to move mountains or move you to tears. Questions can help you think more clearly, get help, and achieve the impossible. They also have the power to help you quit smoking.
Are you asking the right questions? Are you asking questions at all?
Very little happens in life without someone asking themselves or another person a question: “Will you marry me?”, “What do you want to be when you grow up?”, “Will you hire me?”, “Will you take $20,000 for this car?”, “Why did you do that?”, “What are your plans?”, “When can you get here?”, “Where is my shipment?”, “What’s the solution?”, “When can we reach the moon?”, “Why can’t we make this plane fly?”, and a billion more questions shape the actions that we take every day.
The quality and quantity of our questions shapes the quality and quantity of the riches in our lives.
Have you asked yourself any question lately, regarding your smoking habit? It’s time to spend a few minutes posing questions to yourself, to examine your smoking and to learn about yourself.
First, ask yourself “Why?”
Why did you start smoking? Why do you continue to smoke? Why do you want to quit smoking? Why have you failed to quit in the past?
“Why” cuts away the fluff, the unimportant. “Why” quickly gets to the heart of the matter. Read the questions above once more. Answer them honestly. Answer them aloud and really listen to your answer. Seriously, speak your answers! Hearing yourself answer a question can help you focus, dig deep, and reveal the truth, and then take action.
Now ask yourself what you can do to overcome the reasons why you continue to smoke. What can you do to make sure you don’t fail again? Create pinpoint answers to these questions. Write down your answers. Vague, fuzzy answers kept locked away in the back of your mind won’t help you quit smoking. In fact, they may keep you from succeeding. Ask quality questions. Get quality answers.
When you are craving a cigarette, ask yourself some thought-provoking questions:
Which will I regret more, not smoking or smoking?
Will I regret it 10 minutes from now if I don’t smoke?
What can I do instead of smoking that will satisfy my craving?
Can I wait just 2 more minutes for this cigarette?
What’s more important–this cigarette or seeing my grandchildren?
Who controls my life–me or this weed?
What benefit do I truly get from smoking?
How many of these can I smoke before they really do kill me?
Could this next cigarette be the one that actually gives me cancer?
Can my lungs and heart take any more of this abuse?
If I smoke this cigarette will I be one step closer to quitting or one step closer to death?
If I decide NOT to smoke this cigarette will I be one step closer to quitting or one step
closer to death?
These questions, if asked at the right time, can help you to focus on the truth about smoking in your life and help you delay smoking your next cigarette.
Next, ask questions of others. Ask your family and friends for support: “Will you help me to quit smoking?”, “Will you provide positive support without nagging me?”, “Will you be understanding if I become grouchy or angry?”, etc.
Keep asking questions of both yourself and anyone who will listen. The more questions you ask, the closer you will get to a final answer: “Yes, I have finally quit smoking forever!”
source: Questions to Ask Yourself About Smoking (riverhillsneuro.com)
THINGS I COULD HAVE IF I DIDN'T SMOKE
THINGS I COULD HAVE IF I DIDN'T SMOKE
I could have cooked my food in an electric air fryer if i didn't smoke 1 cigarette a day for a year
I could have watched movies in my new mini projector if i didn't smoke 2 cigarettes per day for a year
I could have taken notes in my new Apple Ipad Pro if I didn't smoke 4 sticks a day for a year
I could have called in my new samsung galaxyA23 if I didn't smoke 5 sticks a day for a year
I could have strolled in my new electric kick scooter if I didn't smoke 10 sticks a day for a year
I could have played in my new MSI gaming laptop if I didn't smoke a pack a day for a year
The last thing is your health and you can't put a price tag on that.
The last thing is your health and you can't put a price tag on that.
Time value of smoking
Time value of smoking
5 steps to follow to stop smoking
5 steps to follow to stop smoking
PREPARE YOURSELF
KEEP YOURSELF BUSY
ASK FOR HELP
USE MEDICATION IF NECESSARY
DON'T STOP TRYING
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