Electronic Cigarettes By Sierra Gibson & Alli Roberts 3rd Year Bachelor of Science Nursing students

Video Lesson Game Question and Answer What is our plan today?

What do you think?

There is no proof that electronic cigarettes are safe ( Aziz, Mohamed & Jamshed, 2015)

Short Term Effects (Aziz, Mohamed & Jamshed, 2015) (Wilt & Koo, 2015) All images retrieved through Google Image search

Main Ingredients (Grana, Benowitz & Glantz, 2016) All images retrieved through Google Image search

No Safe Level Ingredients are toxic which means that these ingredients are harmful to the cells in the human body number of flavourings used aerosol causes extreme physical damage to cells (Grana, Benowitz & Glantz, 2016)

Not “just water vapour” electronic cigarettes deliver nicotine by creating aerosol/vape of ultrafine particles particulates are the same size, consistency of particles in cigarette smoke, not “just water vapour” (Grana, Benowitz & Glantz, 2016)

Secondhand “Vaping” chemical content is in the secondhand aerosol (Grana, Benowitz & Glantz, 2016)

Addiction Image retrieved through Google Image search

Nicotine Nicotine is the ingredient in electronic cigarettes that causes addiction Within a few seconds after breathing in the vapour, nicotine reaches the brain (Aziz-ur-Rahman, Mohamed, & Jamshed, 2015) (Goodridge, Lewis, Goldsworthy, Barry & Lewis, 2014) (Lyon, 2013) (Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes, 2014)

What Does Nicotine Do To The Body? (Dwyer, McQuown & Leslie, 2009) (Goodridge, et al., 2014) All images retrieved through Google Image search (Goodridge, et al., 2014) (Alexander, Vyas, Schrufnagel, Malhotra)

Withdrawal From Nicotine All images retrieved through Google Image search (Goodridge, et al., 2014)

Flavours and Toxicity (Grana, Benowitz & Glantz, 2016) Image retrieved through Google Image search

Manufacturing unregulated no guarantees dangerous

Child-proof 1 year old child died from nicotine poisoning after eating flavouring (Mohney, G. 2014)

School District 20: We Care Policy: tobacco and e-cigarette free zones each school uses different disciplinary measures healthy lifestyle incorporated into classroom Tobacco and E- Cigarette Free Environment (2008)

Health Services in Kootenay Boundary Area (2013) 31% teens use electronic cigarettes with nicotine (McCreary Centre Society, 2015)

Quiz

Q: How long does it take nicotine to reach the brain?

Just a few seconds

Q: What are short term effects of smoking electronic cigarettes?

Dry mouth, cough, lung and throat irritation, dizziness and nausea All images retrieved through Google Image search

Q: What are common ingredients found in electronic cigarettes?

(Grana, Benow itz & Glantz, 2016) All images throug h Google Image search

Q: What is nicotine addiction?

Brain always craves more nicotine Withdrawal will happen without nicotine

Q: What is the most toxic part of an electronic cigarette?

Flavouring ingredients

Q: Why are particles from aerosol harmful?

Cause physical harm to growing cells

Q: Is there a safe level of electronic cigarette ingredients in the body? Why, why not?

There is no safe level because the ingredients are toxic to the human body

Q: Why do you think electronic cigarettes are banned from being used in public places, inside and on school grounds?

Harmful to others inhaling aerosol Normalize smoking Promotes nicotine addiction Promotes damage to someone's heart and body Harmful to the environment **We hope that by banning use in public areas we can decrease use of electronic cigarettes overall

Q: Is there proof that electronic cigarettes are safe?

There is no proof that electronic cigarettes are safe

Q: Why does it matter that the manufacturing of flavours and electronic cigarettes are unregulated?

Devices are unreliable Can explode Unknown concentration and ingredients No labels or production standards required No child safety caps required Nicotine poisoning

Q: How to quit?

Ask for help Talk to your friends, parents, teachers or counsellors Visit quitnow.ca because your lungs, body, brain and wallet will thank you! YOU CAN DO IT

References Alexander, E. C. L., Vyas, A., Schrufnagel, E. D., Malhotra, A. Electronic cigarettes: the new face of nicotine delivery and addiction. (2015). Journal of Thoracic Disease, 7(8), E248-E251 4p. doi: /j.issn Aziz-ur-Rahman, Mohamed, M. N., & Jamshed, S. (2015). Safety and Effectiveness of Electronic Cigarettes: A Narrative Review. International Medical Journal, 22(3), p. Callahan-Lyon, P. (2014). Electronic cigarettes: human health effects. Tobacco control, 23(suppl 2), ii36-ii40. Retrieved from Dwyer, J. B., McQuown, S. C., & Leslie, F. M. (2009). The dynamic effects of nicotine on the developing brain. Pharmacology & therapeutics, 122(2), Goodridge, D., Lewis, S. M., Goldsworthy, S., Barry, M., & Lewis, S. M. (2014). Medical-surgical nursing in Canada: Assessment and management of clinical problems. Toronto: Elsevier Canada. Grana, R., Benowitz, N., Glantz, S. A. (2016). Contemporary Views in cardiovascular medicine. American Heart Association. Retrieved from McCreary Centre Society. (2015). Results of the 2013 BC adolescent health survey. Retrieved from Mohney, G. (2014). First child’s death from liquid nicotine reported as ‘vaping’ gains popularity.ABC News. Retrieved from death-liquid-nicotine-reported-vaping-gains-popularity/story?id= Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes — United States, September 2010–February (2014). Retrieved from death-liquid-nicotine-reported-vaping-gains-popularity/story?id=

References Tobacco and E- Cigarette Free Environment (2008). Kootenay Columbia School District Number 20. Retrieved from Wilt, C. N., & Koo, L. W. (2015). E-cigarettes—The primary care provider's response. Clinical Advisor, 18(8), p All images retrieved through Google Image search