Med. Surge. Ch. 42-43 Obesity & Liver

Obesity

BMI > 30 kg/m2

Risks: metabolic syndrome, cardiovascular disease and type 2 diabetes. 

Calculating BMI

(Lbs x 703)/hight in inches. → divide again by height in inches. 

Pathophysiology for obesity

This is caused by an energy imbalance that causes adipose tissue expansion. Chronic low grade inflammation, hormonal changes, insulin resistance and altered metabolism.

Solumedrol and escitalopram

Medications that can cause weight gain

Overweight

BMI 25-29.9

Severe obesity 

BMI = or above 40 

35 and 40

A waist circumference above ____ in women and ____ in men.

Cholesterol, triglycerides (HDL/LDL), fasting glucose, HbA1c, ALT and AST.

Lab studies for obesity

Obesity Evaluation 

S&S: HTN, tachycardia, OSA, decreased O2, increased RR, arthritis, decreased mobility, yeast infections, infection and PI. 

Above 150 mg/dL

Triglyceride risk level for obesity

Above 100 mg/dL

fasting glucose risk level for obesity

Above or equal to 130/85 mm Hg 

BP risk level for obesity

Below 40 in men and 50 in women

HDL risk levels for men and women with obesity.

Polysomnography, overnight O2 monitoring and STOP-BANG

Sleep diagnostics

Thyroid function test, cortisol and other hormones as indicated. 

Endocrine Diagnostics for obesity