Mangement of obesity Flashcards

1
Q

bmi which is overwieght

A

25 - 29.9

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2
Q

bmi whihc is obest

A

30-39.9

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3
Q

bmi which is severely obses

A

above 40

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4
Q

cancers that can be cuased by obsity

A

meningioma
thryoid, osephal, myelom
breat
stomahc
liver
gall baldder,
kidney, bowel
ovariabn
womb

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5
Q

what does tier 1 obesity managment include

A

popluation wide work , incudes lisure tclubs, walking gourps, cooking clssase

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6
Q

what does teir 2 includ

A

primary care based, though diates, lifestyle adviso and drug therapy

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7
Q

what does teir 3 weight mange ment incldu

A

special weihgt mangme though dietic led programme, psychological expertise, physioteraphy

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8
Q

what does teir 4 specialst surgeyr serviese includ

A

surger including bacrica sugyer and special follow up

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9
Q

how does orlistat work

A

inhibits pancreatic adn gastric lipases

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10
Q

who is elegicble for orlistat

A

bmi above 28 and over with othre risk factors
or bmi over 30

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11
Q

what is liragl,utide

A

binds to and actives glp 1 receptor to increase insulin and depres glucoa dn slow gastic emptin

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12
Q

who is elegicle for liraglutide

A

bmi aboe 35 kg/m2
have a co moribate such as prediabes and high risk o cvd
and not have diabetes hypergylcmeia

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13
Q

advers efeect of glp 1 agonsists

A

gall stonds and pancretisi

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14
Q

who is elegicbe for semaglutide or tirzepatide

A

bmi above 35
wiht health comobties due to weiht

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15
Q

inject regnme for semagludie and liragludi

A

semalgudie 1 per week
liraglude daily

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16
Q

tirezpatide alternative name

17
Q

most effect type of wifgh loss sugery

A

gastric bypass , then banding

18
Q

who is elegibel for weight loss sugery

A

bmi above 40
or betwen 35 - 40 and other significant disease such as t2d and high bp
failed al non sugcal measures of weight loss
they have been receiving inseity mangem in obsty serveis

19
Q

who is bartiact sugery a first line for

A

bmi aboe 50

20
Q

who is priotry goup 1 for weight loss sugery

A

bmi 35- 40
age 18 -44
recent onsent - less than 5 year t2d

21
Q

who is priotry group 2 for wieght loss surgery

A

18 - 44, bmi 40 - 50
recent onset of t2d - less than 5 years

22
Q

benifict of intravais ballow

A

non operative
removal
can do on mbi 27 - 50

23
Q

disadves of intra gasic ballwo

A

hiatus hernia
anticoagion
weight gain after rmeo
can rupture and be digested