Review the full Nicotine Replacement Therapy Guidelines for those patients in ED requiring NRT (ie. psychiatric admissions). The most pertinent sections are appendix 3 and appendix 1, reproduced below:
Nicotine-Replacement-Therapy-Guidelines-appendix-3-dosingNicotine-Replacement-Therapy-Guidelines-appendix-1-NRT-flowchart
For those of you who are not familiar with the Fagerstrom score (i.e. all of us), here is a link that explains it:
http://www.health.wa.gov.au/smokefree/docs/Fgerstrom_Test.pdf
The easiest way to work out whether the dependence on nicotine is high, is if the patient smokes more that a pack a day, and has a smoke as soon as they wake up…
T