Ivonne Forum Guru

Topics: 52 Posts: 1,398
| | 01/30/08 - 09:39 AM  
 
   
 
|   #1 |
How many years a patient have stopped smoking before his tobacco use no longer counts as a risk factor? a.-1 year b.-5 years c.-10 years d.-15 years e.-20 years
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| Korotkoff Forum Senior

Topics: 14 Posts: 164
| | 01/30/08 - 09:44 AM  
 
   
 
|   #2 |
I will guess B.
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| mikky Forum Elite

Topics: 15 Posts: 301
| | 01/30/08 - 09:56 AM  
 
   
 
|   #3 |
i think 10
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| RX 135 Forum Elite

Topics: 21 Posts: 509
| | 01/30/08 - 10:18 AM  
 
   
 
|   #4 |
10 BACK TO NON SMKER LEVELS
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| Ivonne Forum Guru

Topics: 52 Posts: 1,398
| | 01/31/08 - 05:56 PM  
 
   
 
|   #5 |
I picked 10 but Kaplan says 15. Anyone with a different source? Numbers, numbers...
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| GOGETA I'm Dr. GOGETA

Topics: 300 Posts: 2,640
| | 01/31/08 - 06:15 PM  
 
   
 
|   #6 |
http://www.cdc.gov/tobacco/data_statistics/sgr/sg...
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| GOGETA I'm Dr. GOGETA

Topics: 300 Posts: 2,640
| | 01/31/08 - 06:15 PM  
 
   
 
|   #7 |
Within 20 minutes after you smoke that last cigarette, your body begins a series of changes that continue for years. 20 Minutes After Quitting Your heart rate drops. 12 hours After Quitting Carbon monoxide level in your blood drops to normal. 2 Weeks to 3 Months After Quitting Your heart attack risk begins to drop. Your lung function begins to improve. 1 to 9 Months After Quitting Your coughing and shortness of breath decrease. 1 Year After Quitting Your added risk of coronary heart disease is half that of a smoker’s. 5 Years After Quitting Your stroke risk is reduced to that of a nonsmoker’s 5-15 years after quitting. 10 Years After Quitting Your lung cancer death rate is about half that of a smoker’s. Your risk of cancers of the mouth, throat, esophagus, bladder, kidney, and pancreas decreases. 15 Years After Quitting Your risk of coronary heart disease is back to that of a nonsmoker’s
___________________ As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| farnsworth Forum Newbie
Topics: 0 Posts: 165
| | 01/31/08 - 06:53 PM  
 
   
 
|   #8 |
IMO is not worth learning those numbers. There are other things far more important to know. Interestingly, quitting smoking less than 2 month prior to surgery does not significantly reduce, but may also increase the risk of perioperative cardiopulmonary complications (Zwissler, Anaesthesist 2005).
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| hero Forum Elite
Topics: 37 Posts: 403
| | 01/31/08 - 07:23 PM  
 
   
 
|   #9 |
farnsworth wrote: Interestingly, quitting smoking less than 2 month prior to surgery does not significantly reduce, but may also increase the risk of perioperative cardiopulmonary complications (Zwissler, Anaesthesist 2005). per Kaplan (Pestana) 8 wk prior surgery quitting and intensive respiratory therapy decrease postop pulmonary risk (p21)
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| farnsworth Forum Newbie
Topics: 0 Posts: 165
| | 01/31/08 - 07:41 PM  
 
   
 
|   #10 |
That's what the paper says: you have to quit smoking at least 2mo prior to surgery to reduce perioperative cardiopulmonary complications. But anyway, it may make sense to quit smoking 12-24h prior to surgery, in order to reduce COHb. But it is not justify to postpone surgery just because a patient had a cigarette 30min ago (from the anesthesiologist's position)
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| rado3105 Forum Newbie
Topics: 3 Posts: 10
| | 02/01/08 - 01:55 AM  
 
   
 
|   #11 |
15 years
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| doc_clotaire Forum Guru

Topics: 159 Posts: 1,242
| | 02/02/08 - 01:37 PM  
 
   
 
|   #12 |
I also remember reading from Kaplan that it was 15 years
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| nyimalay Forum Elite
Topics: 9 Posts: 280
| | 02/02/08 - 02:02 PM  
 
   
 
|   #13 |
15 year is the correct answer. 2 month is to reduce postOP cardiopulmonary risk. But not to the level of a non-smoker.
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| Justice Forum Fanatic

Topics: 100 Posts: 1,897
| | 02/02/08 - 06:13 PM  
 
   
 
|   #14 |
Let me tell you one thing, as an oncologist: if you smoked for some time and did not quit before age of 30, it is LATE to avoid the lung cancer... Thus, the Q must specify the risk factor for a certain condition...
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