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NPTE > Bariatrics > Flashcards

Bariatrics Flashcards

1
Q

Lipidema

A

affects physical size and distribution of fat cells
bilateral, symmetrical, soft swelling in LE of women.
Initial symptoms tend to present at times of significant hormonal changes (like menopause and pregnancy)
tenderness to palpation
column like fat distribution in LE
increased edema as day progresses and subsides overnight

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2
Q

Pear shape or

A

gluteofemoral obesity
common in women and associated with lower incidence of obesity related risk factors

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3
Q

Apple shape or

A

central fat distribution
more highly correlated with risk factors like CVD and diabetes

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4
Q

Waist measurement >___in for men and >___in for women is indicative of central obesity.

A

40
36

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5
Q

Waist to hip ratio > ___ in males and > ___ in females is suggestive of central obesity.

A

1.0
.85

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6
Q

Bulimia is associated with health concerns like

A

heart failure
gastric rupture
esophageal inflammation
tooth decay
dehydration
peptic ulcers
pancreatitis
bowel irregularity

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7
Q

Anorexia health concerns

A

heart failure due to slowed HR, decreased BP, kidney failure due to dehydration, osteoporosis, muscle atrophy

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8
Q

___-___ cal/day restriction is sufficient to lose 1-2 lbs per week. This rate can be maintained for how long before slowing or plateauing?

A

500-1000
6 months

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9
Q

Lipase inhibitors decrease body’s ability to

A

absorb dietary fats, decreasing overall intake

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10
Q

Bariatric surgery is for those with BMI > or >__ with additional comorbidities.

A

40
35

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11
Q

Gastric bypass is

A

combo of restrictive and malabsorptive

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12
Q

Common restrictive bariatric surgery

A

lap band

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13
Q

Fat-soluble vitamins

A

A
D
E
K

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14
Q

Vitamin A is good for

A

eye
epithelial tissue
normal growth and development
reproduction

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15
Q

Vitamin A sources

A

green, orange, yellow vegetables
liver
butter
egg yolks

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16
Q

Vitamin D is good for

A

blood flow levels of minerals: Ca and phosphorus

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17
Q

Food sources of vitamin D

A

milk
fish
oils

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18
Q

Deficiency of Vitamin D signs

A

faulty bone growth
rickets
osteomalacia

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19
Q

Vitamin E is good for

A

antioxidant of cell membranes especially in lungs and RBCs

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20
Q

Vitamin E sources

A

vegetable oils
wheat germ
nuts
fish

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21
Q

Deficiency of Vitamin E

A

breakdown of RBCs

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22
Q

Vitamin K is good for

A

synthesis of at least two of the proteins in blood clotting

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23
Q

sources of Vitamin K

A

dark green leafy veggies
cheese
egg yolks
liver

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24
Q

Water-soluble vitamins
water-soluble means

A

B
C
Biotin
Choline
Folic acid
Pathothenic acid

you have to eat them

25
Q

B2 or riboflavin facilitates

A

enzymes in carbs, proteins and fats

26
Q

B3 or niacin

A

regulate energy metabolism

27
Q

B6

A

metabolism of proteins,carbs and fats

28
Q

Deficiency of B6

A

peripheral neuropathy
convulsions
depression

29
Q

B12

A

all cells and aids in hemoglobin synthesis

30
Q

Deficiency of B12

A

pernicious anemia
various psychological disorders

31
Q

Things that interact negatively with medincations

A

garlic
ginkgo biloba
ginseng
kava
st johns wort

32
Q

Garlic’s interactions

A

exacerbate bleeding issues for those on anticoagulants

33
Q

Ginkgo biloba’s interactions

A

increase risk of hemorrhage in those with anticoagulants

34
Q

Ginseng’s interactions

A

reduce effects of anticoagulants and exaggerate the effects of medications such as insulin and oral antidiabetic medications

35
Q

Kava’s interactions

A

cause liver toxicity

36
Q

St. John’s wart interactions

A

accelerate metabolism of some medicants and prevent numerous others from reaching therapeutic levels

37
Q

Choline is important in

A

nerve function and lipid metabolism

38
Q

Folic acid is important in

A

RBCs
functioning of GI

39
Q

Chloride helps

A

fluid and acid-base balance

40
Q

Magnesium helps

A

regulate heartbeat

41
Q

Cobalt is a compoenent of which vitamin

A

B12

42
Q

Copper facilitates

A

hemoglobin synthesis and lipid metabolism

43
Q

Selenium helps with

A

Vitamin E

44
Q

Enteral administration

A

in the mouth

45
Q

Parenteral administration

A

not in the mouth

46
Q

bioavailability

A

percentage of drug that makes it into circulation
injections intravenously=100%

47
Q

Dose-response curve

A

dosage increases more receptors for drug activated which increases body’s response to the drug. Body’s response will plateau at a certain dosage

48
Q

Drug classification:
Schedule I

A

high potential for abuse and high risk for addiction
used for research only and not medical treatment
LSD and heroin

49
Q

Drug classification:
Schedule II

A

high potential for abuse and high risk for addiction.
still approved for medical use.
Automatic prescription refills are not allowed.
opioids, amphetamines, some barbituates

50
Q

Drug classification:
Schedule III

A

lower potential for abuse and moderate risk for physical dependence and high risk for psychological dependence . Automatic prescription refills are allowed but there are limitations.
opioids that are combined with non-opioids and anabolic steroids

51
Q

Drug classification:
Schedule IV

A

lower potential for abuse and only mild risk for dependence
some limitations for automatic refills
antianxiety and certain barbituates

52
Q

Drug classification:
Schedule V

A

lowest potential for abuse
some states these drugs are over the counter
cough and cold medications

53
Q

drug development:
preclinical

A

testing on animals

54
Q

drug development:
phase 1

A

first stage of human testing for toxicity effects and safe dosing

55
Q

drug development:
phase 2

A

small number of patients to see drugs effectiveness and dosing level.
adverse effects are also studied here

56
Q

drug development:
phase 3

A

larger sample sizes
if successful can file a new application through the FDA to start marketing it

57
Q

drug development:
phase 4

A

drug is approved by being used by the public

58
Q
A

NPTE (54 decks)

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