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

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

4. What do you think?

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

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

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

8. 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)

9. 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)

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

11. Addiction Image retrieved through Google Image search

12. 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)

13. 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)

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

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

16. Manufacturing unregulated no guarantees dangerous http://www.cbc.ca/news/canada/calgary/alberta-father-calls-for-ban-on-e-cigarettes-1.3423099

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

18. 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)

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

20. Quiz

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

22. Just a few seconds

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

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

25. Q: What are common ingredients found in electronic cigarettes?

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

27. Q: What is nicotine addiction?

28. Brain always craves more nicotine Withdrawal will happen without nicotine

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

30. Flavouring ingredients

31. Q: Why are particles from aerosol harmful?

32. Cause physical harm to growing cells

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

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

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

36. 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

37. Q: Is there proof that electronic cigarettes are safe?

38. There is no proof that electronic cigarettes are safe

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

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

41. Q: How to quit?

42. 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

43. 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:10.3978/j.issn.2072-1439.2015.07.37 Aziz-ur-Rahman, Mohamed, M. N., & Jamshed, S. (2015). Safety and Effectiveness of Electronic Cigarettes: A Narrative Review. International Medical Journal, 22(3), 122-131 10p. Callahan-Lyon, P. (2014). Electronic cigarettes: human health effects. Tobacco control, 23(suppl 2), ii36-ii40. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995250/pdf/tobaccocontrol-2013-051470.pdf Dwyer, J. B., McQuown, S. C., & Leslie, F. M. (2009). The dynamic effects of nicotine on the developing brain. Pharmacology & therapeutics, 122(2), 125-139. 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. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995250/pdf/tobaccocontrol-2013-051470.pdf Grana, R., Benowitz, N., Glantz, S. A. (2016). Contemporary Views in cardiovascular medicine. American Heart Association. Retrieved from http://circ.ahajournals.org/content/129/19/1972.full McCreary Centre Society. (2015). Results of the 2013 BC adolescent health survey. Retrieved from http://www.mcs.bc.ca/pdf/AHSV_KootenayBoundary.pdf http://circ.ahajournals.org/content/129/19/1972.full Mohney, G. (2014). First child’s death from liquid nicotine reported as ‘vaping’ gains popularity.ABC News. Retrieved from http://abcnews.go.com/Health/childs- death-liquid-nicotine-reported-vaping-gains-popularity/story?id=27563788 Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes — United States, September 2010–February 2014. (2014). Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6313a4.htmhttp://abcnews.go.com/Health/childs- death-liquid-nicotine-reported-vaping-gains-popularity/story?id=27563788

44. References Tobacco and E- Cigarette Free Environment (2008). Kootenay Columbia School District Number 20. Retrieved from https://www.sd20.bc.ca/tl_files/Policy/Section%201%20REVISED/1.19%20Tobacco%20and%20E-Cigarettes%20Free%20Environment.pdf Wilt, C. N., & Koo, L. W. (2015). E-cigarettes—The primary care provider's response. Clinical Advisor, 18(8), 28-33 6p All images retrieved through Google Image search