obesity (8) Flashcards
BMI 30+
obese
BMI 18.5 to 24.9
normal
BMI 25 to 29
overweight
BMI 30 to 35
class 1 obesity
BMI 35 to 40
class 2 obesity
BMI 40+
class 3 obesity
strongest predictor of coronary artery disease
waist circumference
major risk factor for CAD, stroke, DM2, sleep apnea, and cancer
central obesity
cardiac risks associated with obesity
hyperlipidemia, coronary artery disease, hypertension
gastro risks associated with obesity
gallstones, GERD
urinary risks associated with obesity
stress incontinence
skin risks associated with obesity
infection & impaired wound healing
muscle risks associated with obesity
osteoarthritis, chronic low back pain
men reproductive risks associated with obesity
sexual dysfunction
female reproductive risks associated with obesity
menstrual irregularities & infertility
respiratory risks associated with obesity
obesity hypoventilation syndrome & sleep apnea
endocrine risks associated with obesity
type ll diabetes & metabolic syndrome
psychosocial risks associated with obesity
depression & social isolation
nutrition intervention
nutritionally balanced diet (gold standard) 1200-1800 calories; lose 1lb a week subtract 500 cal/day
bariatric weight criteria
BMI 35 + htn, cardiac issues
BMI 40
pre-operative bariatric surgery care
assistive devices, care post surgery, SCDs, practice cough & deep breathe
post-operative bariatric surgery care
airway management, evaluate sx of re-sedation, turn q2hrs, infection in skin folds
diet post bariatric surgery
clear liquids, full liquids, puree, and then soft foods; high protein, avoid drinks during meals
action: medication that induces satiety/decreases appetite and calorie intake
saxenda (GLP-1) agonist & ozempic
education for ozempic & saxenda (GLP-1) agonist
slows gastric emptying
injectable
do not take with insulin
