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Smoking cessation

Most people will have heard that smoking damages the lungs, but not everyone is aware of the numerous short and long-term negative impacts smoking has on health. The pharmacy team can play a vital role in educating customers on the risks of smoking and support their quitting journey.

Objectives

  • Understand the structure of the respiratory system
  • Know the immediate and long-term effects of smoking
  • Be confident in advising customers on the different smoking cessation options
  • Recommend self care tips to help customers quit.

Introduction

In order to get to grips with why smoking is  bad for health, it is useful to understand the respiratory system and how cigarette smoke affects it.

When someone inhales on a cigarette, tobacco smoke passes through the mouth, pharynx and larynx into the trachea. The trachea splits into two bronchi (one bronchus for each lung), and these tubes divide further until they become 1mm wide bronchioles, which are composed of smooth muscle.

The bronchioles split again until they are only one cell thick. At this point – the end of the breathing tubes – are alveoli. Here, gaseous exchange takes place via the large network of tiny capillaries that carry deoxygenated blood from the heart via the pulmonary artery to the lungs and newly oxygenated blood to the heart via the pulmonary vein. This is also the point at which the components of tobacco smoke, including nicotine, carcinogens, tar and other toxins, are able to get into the blood and the body.

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