Nicotine withdrawal.

  1. 0
    Would the withdrawal of nicotine show more (or less) tachycardia than say the addition of a nicotine patch?
  2. 4 Comments so far...

  3. 0
    Nobody...? Pt is tachy to the 130s, would you withhold the patch?
  4. 0
    Priority wise I would attempt to resolve the tachycardia before I worried about nicotine replacement.

    The patient could, I guess, be tachycardic from nicotine withdrawal.
  5. 0
    I would also resolve the tachycardia first before thinking about the patch.
  6. 0
    Quote from MLB55
    Would the withdrawal of nicotine show more (or less) tachycardia than say the addition of a nicotine patch?
    It's been a while since this was posted, but here's my opinion.
    Nicotine in and of itself can cause tachycardia, in addition to to being somewhat of a vasoconstrictor. I would hold if the rhythm is abnormal. However, another factor to consider is the extreme discomfort that someone in withdrawals is going through. Anxiety and restlessness are frequently part of it. In this patient, ativan or another anxiolytic may be indicated until the heart rate is back to "normal". Nicotine withdrawals are rough, and poorly addressed in the hospital. Maybe we need a CIWA scale for smokers!


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