Obesity Management Flashcards

Flashcards about obesity management for adult patients, based on lecture notes.

How is BMI calculated?

Weight (kilograms) / Height (meters) squared

What BMI range is considered normal weight?

18.5-24.9

What BMI is classified as obesity (class 1)?

30.0-34.9

What BMI is classified as extreme obesity (class 3)?

Greater than 40.0

What are some effects of long-term obesity?

Increased hospital length of stay, increased overall healthcare costs, decreased life expectancy, and higher risk for comorbidities

What comorbidities are associated with long-term obesity?

Diabetes type II, heart disease, metabolic syndrome, cancer, and renal disease

What hormone produced by fat cells, plays a major role in body weight?

Leptin

What are the two roles of Leptin?

Satiety and regulating energy expenditure or balance

What hormone signals the hypothalamus to regulate appetite?

Leptin

What are some laboratory tests to identify secondary causes of obesity?

Screening for diabetes, dyslipidemia, thyroid dysfunction, and fatty liver disease

What are some initial lab tests for obesity?

Fasting blood glucose or hemoglobin A1c, liver function test, fasting lipid panel, and thyroid-stimulating hormone

What are some medications used in weight-loss therapy?

Orlistat, Lorcaserin, Phentermine/topiramate, Bupropion-naltrexone, Liraglutide

What are the main stages of all weight loss regimens?

Diet modification, increased physical activity, and behavior therapy

What is a restrictive bariatric surgery?

Gastric band, gastric sleeve, gastric plication cause weight loss by reducing gastric capacity

What are short-term, life-threatening complications of bariatric surgery?

Pulmonary embolism, infection, and anastomosis leak

What are some long-term complications of bariatric surgery?

Band slippage, obstruction, hernia, esophageal erosion, ulcers, acid reflux, vitamin deficiency, osteoporosis, anemia, and dumping syndrome

What is dumping syndrome?

Nausea, vomiting, abdominal pain, cramps, diarrhea, lightheadedness, dizziness, bloating, belching, fatigue, heart palpitations, rapid heart rate

What are some nursing diagnoses related to bariatric surgery?

Deficient fluid volume, imbalanced nutrition, impaired physical mobility, acute pain, disturbed body image, anxiety, and depression

What are some nursing interventions after bariatric surgery?

Assessments, actions, and teaching

What are you supposed to assess as a nurse after bariatric surgery?

Vital signs, oxygen saturation, electrolytes, daily weight and intake and output, skin, skinfolds, incisions and drains, and pain