Table 1.
Summary of Vaping Evaluation Recommendations (Content in italics may be appropriate for focused assessment)
| Vaping Use History (Ask parent to leave the room and assure confidentiality) |
| • Type of substance: |
| ▪ THC |
| ▪ CBD |
| ▪ Nicotine |
| - 20mg/mL |
| - 70mg/mL |
| - 2% |
| - 7% |
| ▪ E juice/liquid only |
| ▪ Modified products |
| ▪ Home made products including components used, source of products, source of directions for mixing, websites from which information was obtained |
| • Specific products including brand, name and manufacturer, flavorings used |
| • Product source |
| - Vape shop, convenience store, online, friend, adult |
| • Age at initiation |
| - Reason for initiation |
| • Duration of use |
| • Frequency of use |
| • Number of pods or volume used in typical day |
| • Time of last use |
| • Product delivery system |
| - E-cigarette |
| - Juul |
| - Pod Vape |
| - Vape Pen |
| - Box Mod Kit |
| - Dab pen |
| • Method of use including tricks |
| • Additional use of other nicotine and THC products |
| - Cigarettes |
| - Cigars |
| - Pipes |
| - Bongs |
| - Other inhalants |
| Assess for other substance use |
| Assess for interest in change in habits/quitting |
| Respiratory Symptom History (If any positive symptoms perform further pulmonary evaluation) |
| -Acute symptoms |
| • Cough, sputum production, chest pain, shortness of breath, dyspnea on exertion, hemoptysis |
| • Note duration and if any of these symptoms correlate with initiation of vaping or change in vaping practices |
| -Chronic symptoms and any underlying respiratory past medical history |
| • Pneumonia |
| • Bronchitis |
| • Pneumothorax |
| • Hemoptysis |
| Screen for Gastroenterology Symptoms |
| • Abdominal Pain, nausea, vomiting, diarrhea |
| Screen for Systemic Symptoms |
| • Fever, chills, weight loss, malaise |
| Screen for Neuro-behavioral Complications of Vaping |
| • Changes in mood, aggression, irritability, sleep disturbance, anxiety, fighting, seizure activity |
| • Disinhibition, psychosis, hallucinations |
| • Withdrawal symptoms upon cessation of use |
| • Need to use more to produce desired effects |
| • Use of more product or more frequently than intended |
| • Increasing amount of money spent on vaping products |
| • Changes in activities, physical activity, peer interactions or scholastic performance |
| • Interpersonal relationship changes |
| • Risk taking behaviors (e.g. stealing, lying, hiding use, use in school) |
| • Quit attempts |
| Screen for Mental Health History |
| • ADHD/ADD, Anxiety, Depression, other |