lewis ch 40 obesity Flashcards
body shape:
• Fat primarily in abdominal area
• Fat also distributed over upper body (neck, arms, shoulders)
• Greater risk for obesity-related complications
apple (android)
body shape:
• Fat mainly in the upper legs
• Has a better prognosis but hard to treat
pear (gynoid)
healthy weight bmi range
18-24.9
overweight bmi range
25-29.9
obesity bmi range
30-44.9
very obese bmi range
45+
what % loss of body weight does the average weight loss program result in
10%
4 options for bariatric surgical procedures
- adjustable gastric binding
- sleeve gastrectomy
- biliopancreatic diversion
- roux-en-y gastric bypass
what 4 things are carefully assessed in initial postop care after bariatric surgery
- cardiopulmonary complications
- thrombus formation
- anastomosis leaks
- electrolyte imbalances
what is important to remember about an obese patient regarding anesthesia
body stores anesthetics in adipose tissue, so patients are at risk for re-sedation
what 4 things may result from excess adipose tissue compresses chest and abdomen
- CO2 retention
- hypoxemia
- pulmonary hypertension
- polycythemia
what is the new diet that should be transitioned to during postop care after bariatric surgery
- high protein
- eat slowly and stop when full
- no liquids and solids together
what foods should be avoided that may cause dumping syndrome
fluids and foods high in carbohydrate
what are some late complications that can be anticipated after bariatric surgery (7)
- anemia
- vitamin deficiencies
- diarrhea
- psychologic problems
- peptic ulcer formation
- dumping syndrome
- small bowel obstruction
for how long are women encouraged to postpone pregnancy after bariatric surgery
12-18 months
