HEALTH PROMOTION Flashcards
when to consider bariatric surgery
bmi ≥ 40 or bmi >35 with significant comorb
what is orlistat
lipase inhibitor, lowers dietary fat absorption
side effects of orlistat
soft stools, abdo pain, flatulence, fecal incontinence
what must you separate orlistat from (list 3)
fat soluble vitamins (ADEK),
levothy,
oral contraceptives
phentermine plus topiramate ER side effects list 5
constipation, dry mouth, paraesthesia, insomnia, taste changes
naltrexone with bupropion side effects
nvd, insomnia
when to stop naltrexone and bupropion
5% weight loss not achieved after 3 months
when to omit orlistat dose
if meal is missed or contains no fat
what to avoid when taking bupropion and naltrexone
high fat meal
energy requirement per day for normal adults
20-25kcal abw/kg/day
energy requirement per day for patients
25-35kcal/kg
protein req per day for normal adult
0.8g/kg
protein req per day for adult over 60
1.5g/kg
protein req per day for patients facing trauma / surgery / burn
1.5-2g/kg
protein req per day for pts in sepsis
1.5-2.5g/kg
protein req for ckd pts not on dialysis
0.6-0.8
protein req for ckd on hd/pd
1.2g/kg
daily adult fluid req
30-40ml.kg
7 markers of malnutrition
- weight loss in past 6m
- dietary intake
- gi symptoms
- presence of disease state requiring increase in metabolic demand
- muscle wasting
- fat stores
- edema
in which pts must pre-pyloric sphincter enteral access be avoided
delayed gastric emptying
which enteral access can cause higher chances of tube clogging and diarrhoea
post pyloric sphincter access
first line for refeeding syndrome
thiamine 100mg OD for 7d
electrolytes affected in refeeding
K, Mg, Phosphate
BMI what classifies as high risk pt
16, 18.5 if with another factor
