Stop the Vape. Maria Hines RN, MSN. Denise Kneubuhler RN, MSN

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1 Stop the Vape Maria Hines RN, MSN Denise Kneubuhler RN, MSN 8a63706c/tumblr_nzpw68ossS1rc7zl1o1_500.gif

2 Objectives Increase awareness and knowledge of e-cigarette use and vaping among youth Discuss the history, design, ingredients, types of electronic cigarettes, and current trends in use Compare known vs perceived risks of e-cigarette use and vaping

3 What is an E-Cigarette?

4 History/Background Invented in 2003 by Hon Lik Introduced in US in different brands 7700 unique flavors exist Increasing popularity among youth Heavily marketed harm reduction, smoking cessation, smoke anywhere Not well-regulated

5 E-cigarette E-cigs Cigalikes E-hookahs Mods Vape pens Vapes Tank systems Juuling Names/Types (United States Department of Health and Human Services, 2016, p.3)

6 How It Works

7 Aerosol, Not A Vapor

8 Development of Electronic Cigarettes First Generation: cigalikes Replaceable cartridge, rechargeable battery 1 Cartridge = 30 cigarettes Pack of cigarettes = at least 20 Second Generation: e-go s or vape pens. Battery, clearomizer (clear tank + atomizer). Atomizer = wick + coil. 2 ml tank 10 cigarettes. Third Generation: mods Completely customizable to user s needs. Wick & coil are assembled manually. Battery voltage adjustable to produce stronger vapes. Bigger tanks & batteries.

9 Juuling

10 Youth Tobacco Use in United States acco/ucm htm

11 E-Cigarette Use Among Indiana Middle & High School Students Electronic cigarette use increased about four-fold among Hoosier youth between 2012 and 2014 but declined significantly between 2014 and Despite this decline, e-cigarettes remain the most commonly used tobacco product among Hoosier youth and youth nationwide. (Tobacco Prevention and Cessation Commission, 2017, paragraph 5)

12 Harmful Effects of E-cigarettes html

13 Harmful Effects of E-cigarettes & Nicotine

14 Harmful Effects of E-cigarettes-Flavorants Life long addiction often starts out sweet Propylene Glycol Diacetyl Acetoin 2,3 Pentanedione

15 Harmful Effects of E-cigarettes- Aerosol

16 Explode when charging Heat flavors to higher temperature increasing release of harmful chemicals Device Risks Deliver drugs other than intended such as marijuana (exploding e-cigarette)

17 What We Know: Conclusive Evidence Releases particulates and nicotine into the environment Nicotine exposure varies by product and how the device is used. Most e-cigarette products contain and emit numerous potentially toxic substances. E-cigarettes can explode and cause burns Skin exposure to e-liquids can cause seizures, brain injury, and vomiting Ingesting E-liquids can be fatal

18 What We Know: Substantial Evidence E-cigarettes are a gateway to smoking tobacco cigarettes in youth and young adults. Nicotine intake is the same for e-cigarettes as regular tobacco cigarettes. E-cigarettes do contain metals. E-cigarette aerosols can affect the lining of blood vessels and causes hypoxic changes to tissue- Long term effects not yet known. E-cigarettes results in symptoms of dependence. E-cigarettes contain formaldehyde and acrolein which have been linked to cancer.

19 The Tobacco Industry WANTS You(th)!

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21 Questions?

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