Surgery For Obesity Flashcards
Bariatic surgery is?
Surgery on the stomach or intestine to help person with extreme obesity lose weight
What is the 2 criterial for sugary
BMI > 40
BMI > 35 with 1 or more obesity related complications
( hypertension, type 2, heart failure, sleep apnea )
Before going into a bariatric surgery, the patient must be screen for? (2)
All physical, psychological and behavior conditions
Illnesses
Bariatric surgery
Categories of surgeries must be done how?
And how do they determine this? (3)
Laparoscopically
Restrictive - size of stomach
Malabsorption - length of small intenstine
Combination of both ^
What are the 3 surgeries?
Restrictive adjustable gastric banding
Vertical sleeve
Combination of restrictive and malabsorption
Restrictive surgery / adjustable gastric banding
It’s the most common? True or false
How does it work?
It’s also connected to a subcutaneous port that can be inflated or deflated to meet patients?
True
Limits stomach size with an inflatable band around fundus of the stomach
Weight loss
What is a vertical sleeve gastrectomy?
How much % removed ?
Is it reversible?
While the stomach is drastically reduced in size, the function is still?
Results in?
Sleeve shaped stomach
85% stomach removed
No
Preserved
Elimination of hormone produced in the stomach that stimulate hunger
Combination of restrictive and malabsorption surgery
Roux en Y surgical procedure
It has a low?
Great patient?
Food bypasses ___% of the stomach, duodenum and small segment of jejunum
Complications rate
Tolerance
90%
What is a complication of RYGB surgery?
Dumping syndrome
What is dumping syndrome?
Gastric contents empty too rapidly into the stomach intestine
Patients are discouraged from eating what to avoid dumping syndrome?
Sugary foods
Dumping syndrome is also an issue in absorption, so patients may end up becoming?
Iron deficiency anemia
Preoperative care
We as nurses want to determine if the patient is using any?
There ___ information
That will indicate ^
A team may come in order to assess the patient ; examples
You want to have to room prepare how?
Devices
Health
( risk of complications & co morbitidies)
Cardiologist, gynecologist, gastroenterologist
Larger blood pressure cuff
Large gown
Wheelchair
Before going into the surgery, you want the patient to be what?
As well teach the use of 2 things?
Coughing, deep breathing and turning
Incentive spirometer
Cpap
Post operative care
We want to closure observe for?
Transfer with specially trained personnel by (3)
We lastly want to evaluate for re sedation ( why? Or how?)
Complications
Stabilize airway
Manage pain
Elevate head 30-45
Anesthesia stored in adipose tissue
We want the patient to especially be doing what after post op?
This helps prevent?
Turning and ambulating
Pneumonia, DVT, infection
Special considerations post op care is?
What do we want to do (5)
Abdominal pain
Medicate as needed
Anastomosis leaks may cause pain
Evaluate wound condition closely
Attentive to placement of NG tube
Careful transition to new diet
Ambulatory and home care
We want the patient to follow?
Nutrition diet!!
Patients are normally discharge within how many days on full liquid diet?
10-14 days
We always want the patient to come for long term follow up in order to help with? (3)
Physical and psychological reasons
( old diet patterns, issues in fertility, new body image )
Cosmetic surgeries can be given to obese patients once they meet? (2)
Achieved weight reduction
Excess skin folds and fat
Two cosmetic surgeries are ?
Lipectomy
Liposuction
Evaluation of obesity?
( we also want to monitor for possible )
Weight loss!!!
Adverse effects
Gerontological considerations
They have increase?
Because (5)
Prevelance of obesity
- decrease energy
- age related problems
- decrease mobility, Incontience, hypoventilation, sleep apnea
- decrease quality of life
- decrease life expectancy by 6-7 years
