Obese and Post Op

Question 1

What are obese pt more likely to have

Answer 1

Cardiovascular
     Atheroscleosis
     Heart failure
     Hypertension
     Thromboembolism
     Varicose veins
    Venous insufficiency
    Venous stasis
Dermatological
    Cellulitis
    Dermatitis
    Necrotizing infections
    Pressure ulcers
Endocrine/Metabolic
     Delayed would healing
     DM II
     Hyperlipidemia
     Renal failure
GI
     Abdominal wall hernias
     Fatty liver
     Gallbladder disease
     GERD
GU
    Urinary stress 
    incontinence
Mus Skel
      Low back pain
      Osteoarthritis
Pulmonary
     Asthma
     Pulmonary hypertension
     Restrictive respiratory 
     disease
     Sleep apnea

Question 2

What should you do if your giving an IV med in an obese patient and you cant find your landmarks

Answer 2

choose a different site where you can

Question 3

What is a suggestion to make to the pt for breathing care

Answer 3

bring their sleep apnea equipment from home

Question 4

What should you teach them about meds

Answer 4

meds like MAO inhibitors NSAIDS ASA and herbs should be stopped 10-14 days before surg