Chapter 45: Obesity Flashcards
ten cancers most strongly linked to excess body fat
breast, colorectal, endometrial, esophagus, gallbladder, kidney, liver, ovarian, stomach, thyroid
type of restrictive surgery for obesity in which the size of the stomach is reduced by folding the stomach wall inward and then placing sutures to secure the folded stomach wall
gastric plication
combination of restrictive and malabsorptive surgery for obesity that involves creating a small gastric pouch and attaching it directly to the small intestine using a Y-shaped limb of the small bowel
roux-en-Y gastric bypass (RYGB)
postoperative bariatric surgery: at first, patient is _______ and tested to ensure no leak from ______________
NPO, anastomosis
most Jackson-Pratt drains will be discontinued when drainage is <___ cc per day
30
android (apple) or gynoid (pear) shape: health risks: subcutaneous fat traps and stores fat
gynoid (pear)
postoperative bariatric surgery: when first starting back on diet, start with ____ mL of clear liquids with _____ sugar every _______ minutes, then gradually increase intake to goal of _____ mL every _____ minutes, then progress to __________ full liquid
15, low, 10-15, 90, 30, low-calorie
with adjustable gastric banding, ________ is common, so patient should learn about what to eat, eat _______, and add extra _________ to diet
reflux, slowly, vitamins
healthy weight loss is _____ lbs per week
1-2
as people age, basal metabolic rate (increases, decreases)
decreases
android (apple) or gynoid (pear) shape: health risks: hypertension
android (apple)
overeating develops (early, late) in life and alters ________
early, satiety
android (apple) or gynoid (pear) shape: fat mainly in upper legs
gynoid (pear)
cause of primary obesity
intaking more calories than energy expenditure
android (apple) or gynoid (pear) shape: health risks: decreased HDL cholesterol
android (apple)
android (apple) or gynoid (pear) shape: health risks: heart disease
android (apple)
preoperative care before bariatric surgery includes identifying any ______________, having correct ______ and __________________ size, accommodations for _________, ______________ considerations, assessment of _________ and _______ sounds, ____ size, and teaching about ______________ exercises to be used postoperatively
comorbidities, gown, blood pressure cuff, weight, wheelchair, heart, lung, IV, respiratory
it takes ___________ to establish a habit
6 weeks
when caring for a patient with gastric sleeve, patient will have ______________ drain, will need to be NPO for __________, and a(n) ________________ (procedure) will be done the next day to ensure no leakage
Jackson-Pratt, 24 hours, swallow X-ray
three cardiovascular health risks of obesity
stroke, hypertension, sleep apnea
android (apple) or gynoid (pear) shape: health risks: visceral fat more acute, causing decreased insulin sensitivity
android (apple)
five criteria for metabolic syndrome (must meet ____ criteria to diagnose)
three
1. waist circumference: ≥40 in (102 cm) men; ≥35 in (89 cm) women
2. triglycerides: >150 mg/dL OR drug treatment for high triglycerides
3. HDL cholesterol <40 mg/dL men, <50 mg/dL women OR drug treatment for high cholesterol
4. BP ≥130 mm Hg systolic OR ≥85 mmHg diastolic OR drug treatment for hypertension
5. fasting glucose ≥100 mg/dL OR drug treatment for elevated glucose
android (apple) or gynoid (pear) shape: fat also found over upper body (neck, arms, shoulders)
android (apple)
to lose weight, need ______ minutes of moderate exercise or _____ minutes of vigorous exercise per week
150, 75
