Obesity & Anorexia

The BEST indicator of being overweight it you ________ circumfrence

waist

What is the name of the drug BLOCKS fat absporption, so you may eat more food but not abosrb it? What cat. would this be called?

Orlistat; Nutrient-abosrbing blocking

Which injection or PO drug INCREASES satiety by delaying gastric emptying (used mainly for weight loss)

Weight loss

What complication could come from someone having ANY Gastric surgery?__________________ syndome. what happens?

DUMPING syndrome. Everything you eat you poop out

What two foods should someone avoid if they jsut had gastric bypass srugery? WHy?

Sugar and carbs; could cause dumping syndrome.

What are the DIET orders for a post-op gastric bypass patient based on this scheudle:

No bowel sounds:

bowel sounds:

7 - 10 days:

10-14 days:

Day 15 - 30:

week 4 - 6 (a month after):

NPO

clear liquid

soft foods

purred food

soft food

regulat diet

Metabolic syndrome is presented by and increase in these THREE things?

blood glucose, blood pressure, and cholesterol

ANY Stomach surgery avoid drinking from ________ as this causes ________ ________

straws; gas bubbles

Protiens are _______________ based.

Animal

TPN are feedings ________________ but ENTERAL feedings are located __________.

peripherally; in the GI tract

what instance calls for a pt to be put on TPN?

when their GI system cannot absorb

Which two enteral feeding tubes are temporary?

nasogastric & naso-jejunal

WHAT is to note abt NG tube that you CANNOT do on a NJ tube?

put it on suction

Which two enteral feeding tubes are somewhat PERMANAT?

gastric-tube & jejunal tube

WHAT instance calls for the use of Jejunal tube?

Whne the stomach cannot absorb properly

When someone is on TPN what must you as the nurse do with their dressings/tubings?

CHANGE them every 24 hrs

When somone cannot absorb food properly, WHAT is this called? WHAT is a major sing/symptom? WHAT do we try to get a order for?

refeeding syndrome; HYPERvolemia; TPN

TPN should be pulled from the fridge ______________ before being inserted into pt. and they are only good for:

1 hr; 24 hrs

Should TPN rate ever be increased?

NO

When someone is experiencing refeeding syndrome, which ELECTROLYTE will decrease? Na+, K+, phosphate…

phosphate

What is the “substitute” TPN? remember, this is a HYPERTONIC solution…

D10 in water