Obesity Flashcards
Waist size that increases the risk of cardiovascular disease for male and female?
Male: > 40”
Female: > 35”
Apple-shaped body
- Fat located primarily in the abdominal area
- At greater risk for obesity-related complications
- Android obesity
Pear-shaped body
- Fat located primarily in upper legs
- Gynoid obesity
- Better prognosis but harder to treat
Nursing Interventions for obese patients
- Set a realistic and healthy goal for weight loss
- 1 to 2 pounds per week
- Slower weight loss offers better cosmetic results
- Plateaus can last from several days to several weeks
- Daily weighing is not recommended
- Weigh once a week with similar clothing, at the same time of day
Dietary Teaching for the obese patient?
- Modify eating patterns. I- nclude food from the basic food groups. - Diet classifications - 800 to 1200 cal: Low cal - <800 cal: Very low cal - Adequate quantities of - Fruits and vegetables - Lean meat, fish, and eggs - Fad diets should be discouraged, often body water is lost, and not fat.
Food portion sizes for the obese patient (fruit/vegetable)?
Serving size of woman’s fist or baseball
Food portion sizes for the obese patient (meat)?
Size of person’s palm or a deck of cards
Food portion sizes for the obese patient (cheese)?
Size of a thumb or six dice
Exercise teaching for the obese patient?
30 - 60 minutes daily
- walk, swim, cycle
- 10k steps/day
medication that inhibits intestinal lipases, preventing breakdown of fat?
Orlistat (Xenical, Alli)
Orlistat (Xenical, Alli)
inhibits intestinal lipases, preventing breakdown of fat
Appetite-suppressing drugs
Phentermine
Diethylpropion
Phendimetrazine
Phentermine
Appetite-suppressing drug
Diethylpropion
Appetite-suppressing drug
Phendimetrazine
Appetite-suppressing drug
Criteria needed for approval of bariatric surgery?
- BMI ≥40 w/ one or more obesity-related complications
- 18 years or older
- Has been obese for >5 years
- Has tried and failed to lose weight
- Has no serious endocrine problems
- Has psychiatric and social stability
- Surgery would ↓ or eradicate high-risk conditions
Vertical banded gastroplasty pouch capacity?
15-30 mL
, Biliopancreatic diversion with duodenal switch pouch capacity?
100-200 mL
Adjustable gastric banding pouch capacity?
10-15 mL
Roux-en-Y gastric bypass pouch capacity?
20-30 mL
Patients who are obese are likely to suffer other co-morbidities, such as?
Diabetes, altered cardiorespiratory function, abnormal metabolic function, atherosclerosis
Bariatric Surgery Postoperative Care?
- Assess for post-op respiratory complications
- Pain management
- Early ambulation is essential (3-4 x day)
- Pneumatic compression devices, elastic compression stockings, or elastic wraps will be used
- Follow prescribed diet
Bariatric Surgery post-op respiratory complications?
- Cardiopulmonary complications
- Thrombus formation
- Anastomosis leaks
- Electrolyte imbalances
Diet for post op bariatric surgery patient?
- High protein
- Low carbohydrates
- Low fats
- Low roughage
- Six small feedings
- Fluids not to be ingested with meals (< 1000 mL/day )
Bariatric Surgery post-op complications?
- Anemia
- Vitamin deficiencies
- Diarrhea
- Psychiatric problems
- Peptic ulcer formation
- Dumping syndrome
- Small-bowel obstruction
