409 Final 8 Flashcards
overweight BMI
25 to 29.9
obese BMI
30 +
morbid obese BMI
40 +
compared to BMI, a better predictor of CAD is
waist circumference
waist circumference indicating obesity
+35 or +40
Waist to Hip ratio that indicates obesity
0.95 or .80
2 not so obvious complications of obesity
slower healing
prone to infection
The 2 good kinds of fat
mono un sat and poly
3 examples of drugs that can cause weight gain
NSAIDs
female hormones
HTN drugs
During physical assessment of an obese patient, a special consideration
check under skin folds for skin breakdown
Obese men can have
ED
Obese women can have
cycle/pregnancy problems
3 criteria used for weight loss surgery
non surgical efforts aren’t working
BMI +40
IBW more than 100%
Two kinds of very-low-calorie diets
protein-sparing modified fast
liquid formula
Both of the very-low-calorie diets require you to have
a cardiac evaluation
the biggest problem with the very-low-calorie diets is
you rapidly regain weight
balanced diets
1200 calories
they are more realistic than very-low-calorie diets
To lose 1 lbs each week, you
subtract 500 cal per day
You could be a candidate for drug therapy if
you’re BMI is 30 or BMI is 27 plus a comorbidity
The drug of choice for obesity
orlistat
orlistat is contraindicated for patients with
HTN
heart disease
hyperthyroid
psyc meds
Liposuction is not
a solution for obese patients
Candidates for weight loss surgery have
BMI 40 or 35 plus other risk factors
____ is the only long term solution for morbid obesity
Surgery
The 3 broad types of bariatric surgery are
restrictive
malabsorbtive
both
Bariatric: restrictive surgery allows for
normal digestion without the risk for nutritional deficiency
One way that malabsorbtive surgery is better than restrictive is
malabsorbtive is better at keeping the weight off longterm
An example of surgery combining bypass and malabsorbtive is
gastric bypass
After bariatric surgery, they may need an NG tube. You must never
reposition the tube
After bariatric surgery the diet is
liquid or puree for 6 weeks
A bariatric patient could be having a life threatening leak if they develop
increasing pain, restlessness, tachycardia, oliguria
After bariatric surgery, remove urinary catheter within
24 hours
After bariatric surgery its common to have
constipation or other bowel habit change
