Unique Plan Description: Nicotine Replacement/Tobacco Cessation
Plan Selection Display: Nicotine Replacement/Tobacco Cessation
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-14 14:06:31
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 09:31:52
Available at all facilities: Yes

Nicotine Replacement/Tobacco Cessation
Medications
		Nicotine Replacement Warnings (Physician to determine risk vs benefit): Severe/life-threatening arrhythmias, severe/worsening angina pectoris, immediate postmyocardial infarction period (2 weeks), accelerated hypertension(NOTE)*
		Precautions:  pregnancy, breastfeeding; PUD, CAD, PVD, HTN, Hepatic disease, severe renal impairment, diabetes, previous allergy, sensitivity, or reaction to nicotine patch or gum; microvascular free flaps (immediate postop) and arthrodesis.(NOTE)*
		If patient is breastfeeding or pregnant, consider using OB Nicotine/Tobacco Cessation(NOTE)*
	nicotine
		2 mg, Gum, TransMUCOSAL, Q1H, PRN, smoking cessation
			Comment: <25 cigarettes/day; max 24 pieces/24 hours
		4 mg, Gum, TransMUCOSAL, Q1H, PRN, smoking cessation
			Comment: >25 cigarettes/day; max 24 pieces/24 hours
	Ativan
		0.5 mg, Tab, By Mouth, Q8H, PRN, anxiety
		1 mg, Tab, By Mouth, Q8H, PRN, anxiety
	Xanax
		0.25 mg, Tab, BY MOUTH, TID, PRN, anxiety
		0.5 mg Tab BY MOUTH TID, PRN anxiety
	Wellbutrin SR 150 mg/12 hours oral tablet, extended release
		150 mg, Tablet-Extended-Release, By Mouth, DAILY, 3 Day(s)
		150 mg, Tablet-Extended-Release, By Mouth, BID, 11 week(s)
	triamcinolone 0.1% topical cream
		1 appl, Cream, TOPICAL, TID, PRN, see comment
			Comment: for skin irritation from patch.
		nicotine 14 mg/24 hr Patch - For patients who smoke <10 cigarettes/day, 1 cigar per day, or uses < 1 can/pouch per week, but daily use, patients weighing less than 100lb, or patients with a history of cardiovascular disease.(NOTE)*
	nicotine
		14 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
	Medication patch site check
		T;N+720, Q12H
		nicotine 21 mg/24 hr Patch - For patients who smoke > 10 cigarettes/day; more than 1 cigar per day, or uses > 1 can or pouch/week). Weight>100lb. Do not use 21 mg for patients with history of cardiovascular disease.(NOTE)*
	nicotine
		21 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
	Medication patch site check
		T;N+720, Q12H
		nicotine 7 mg/24 hr Patch - For patients who don't use nicotine daily(NOTE)*
	nicotine
		7 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T;N+1440
	Medication patch site check
		T;N+720, Q12H

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase