14 articles Screening / Health Maintenance

Smoking Cessation

Smoking cessation: Provide education/encourage smoking cessation. Nicotine patch 21 mg/24hr transdermal patch. Nicorette gum or Nicorelief 4mg gum – use for breakthrough cravings. Consider beginning cessation medication: Chantix (ADR: suicidality) or Wellbutrin (if no contraindications: seizures) Nortriptyline and Amitriptyline can be used for smoking cessation.

Aspirin – primary prevention

Primary prevention with Aspirin: Male (prevents MI): 45-79 Use this link to calculate risk of MI: http://cvdrisk.nhlbi.nih.gov/calculator.asp Risk factors for CHD include age, diabetes, total cholesterol level, HDL level, blood pressure, and smoking. Female (prevent Stroke): 55-79 Use this link to calculate risk of stroke: Framingham Predictions of Risk of Coronary Heart Disease (CHD) Event and…

Shingles vaccine

Shingles vaccine: Zostavax  http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc-need-know.htm#get-vaccine 60 years old and older – 1 time vaccine: Prevent Shingles and post-herpetic neurolagia Recently had Shingles: Provide vaccine following resolution of rash “no specific time that you must wait after having shingles before receiving the shingles vaccine. The decision on when to get vaccinated should be made with your health…