What are Mr. Cs risk factors?
Hypertension, smoker, Type II diabetes, dyspnea and intermittent claudication are his risk factors. As the nurse in the Emergency Department, what actions should be considered? What strategies can be implemented to assist him with nicotine withdrawal while hospitalized? What smoking cessation techniques may be helpful to him? Nicotine replacement therapy is contraindicated in this patient because of chest pain, and should not be initiated until a myocardial infarction has been ruled out. Buproprion HCL may be started, but realize that it takes approximately eight days to raise blood levels sufficiently to reduce/prevent craving. Ask: Pattern of tobacco use, triggers, support systems, readiness to make changes. Advise: Address his fear of lifestyle changes in the plan, including his wife in this process, encouraging her that quitting is also important for her, Provide problem solving/skills training to enhance his coping with stress. Emphasize that quitting at any age has positive benef
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- What are Mr. Cs risk factors?
