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Case Report: Nicotine Replacement Therapy (NRT) in Hospitalized Surgical Patient

Published online by Cambridge University Press:  03 March 2015

Laurel Sisler ,
Susan Trout ,
Carol Ripley-Moffitt  and
Adam O. Goldstein
Laurel Sisler
Affiliation:
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, 27599
Susan Trout
Affiliation:
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, 27599
Carol Ripley-Moffitt
Affiliation:
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, 27599
Adam O. Goldstein
Affiliation:
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, 27599
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Extract

Hospital surgical services are often reluctant to offer nicotine replacement therapy (NRT) to inpatients due to concerns that nicotine leads to vasoconstriction and impaired wound healing. However, multiple potential health benefits result from offering NRT to hospitalized surgical patients who use tobacco products. A 28-year-old female patient, hospitalized following a motor vehicle accident, experienced severe nicotine withdrawal symptoms and a strong desire to smoke. After a Tobacco Treatment Specialist (TTS) consultation, the Physical Medical and Rehabilitation service at the hospital began her on NRT with positive outcomes. The patient experienced decreased cravings and withdrawal symptoms, as well as an increased desire to remain tobacco free after discharge. More surgical patients may have an increased commitment to remain tobacco free after discharge, if their withdrawal symptoms are treated during hospitalization using NRT.

Type
Case Report
Information
Journal of Smoking Cessation , Volume 10 , Issue 1 , June 2015 , pp. 2 - 4
Copyright
Copyright © The Author(s) 2015 

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