bariatric care Flashcards
what is a bariatric pt
person who has limitations in health care due to physical size
BMI for overweight
25+
BMI for obese
30+
how to calculate BMI
weight in kg/height in metres squared
limitations of BMI
does not account for:
sex
age
muscle mass
cause of obesity
imbalance between calories consumed and expended
max. weight for standard dental chair
22 stone (140kg)
3 co morbidities of obesity
hypertension
diabetes
sleep apnoea
GORD
treatment for sleep apnoea
CPAP - continuous positive airway pressure
dental difficulties with obesity - 3
loss of anatomical landmarks - IDB
CPR might break the chair
OPT - pt may not fit in machine
why might you see increased tooth erosion in bariatric patients
increased prevalence of GORD in bariatric patients - acid reflux
what to do after vomiting or reflux episode
mouth rinse with water
chew sugar free gum
sodium bicarbonate teaspoon in water
wait half a hour before brushing teeth
contraindications to IV sedation in obese
at risk of sleep apnoea
difficult placing cannula
why are bariatric at higher caries risk
high sugar diets
why are bariatric at greater risk of delayed wound healing
reduced immune function