Ask, Advise to quit and Assess are the steps in approaching patients regarding smoking cessation.
All patients should be asked if they use tobacco and should have their tobacco status documented on a regular basis.
Patient with nicotine dependence is characterized by smoking within 30 minutes of waking, consuming >10 cigarettes/day and had withdrawal symptoms in previous attempts of quitting smoking.
Smokers should be strongly urged to quit at every physician encounter.
Advice should be clear, personalized, supportive and non-judgmental.
Determine the willingness of smoker to make a quit attempt.
The immediate reduction of cigarette nicotine content results in greater improvements in levels of smoke exposure biomarkers than gradual reduction, though withdrawal symptoms are stronger, according to a recent study.
Continuous positive airway pressure (CPAP), a noninvasive ventilation, may help improve respiratory rate and reduce mortality in children with respiratory distress, particularly in those younger than 1 year, a recent study showed. CPAP intervention was initiated by nurses with minimal physician supervision in the study, supporting the use of noninvasive ventilation in low-resource settings where laboratory diagnostic tests are not readily available.