Endocrine

What client teaching will the nurse include when discussing precautions about phentermine?

"Do not drink alcohol while taking this medication."

How should the nurse best address the client's risk for postoperative venous thromboembolism?

Assist the client with ambulating as early and often as possible

satiety

Condition of being too full or too satisfied

Symptoms of dumping syndrome

Dizzy, sweating, tachycardia

What is an expected finding of lorcaserin?

Dry mouth

What pathophysiological concept is related to the increase in the hormone leptin, as it relates to satiety and hunger?

Increase in adipose stores

How does orlistat work?

It binds with enzymes to help prevent digestion of fat

Which medication does the nurse recognize may assist in weight loss and is also approved to treat type 2 diabetes?

Liraglutide

Post op bariatric surgery what should you avoid taking to decrease the risk of gastric ulcers?

NSAIDS

What is a side effect of liraglutide?

Nausea

What arthritis is associated with obesity?

Osteoarthritis

What weight loss medication can make you feel nervousness and Jittery?

Phentermine

Which obesity medication is contraindicated in this client with glaucoma?

Phentermine

Dumping syndrome

Rapid emptying of gastric contents into small intestines. Client experience ab pain, nausea, vomiting, explosive diarrhea, weakness, dizziness, palpitations & tachycardia.

A nurse cares for a client who is post op from bariatric surgery. Once able, the nurse encourages oral intake for what primary purpose?

Stimulate GI peristalsis

"double-burden"

Undernutrition and obesity in developing countries

Waist circumference indicative of obesity

Women- 35" Men-40"

Cirrhosis

a chronic liver disease characterized by fibrotic changes, the formation of dense connective tissue within the liver, subsequent degenerative changes, and loss of functioning cells

Obesogenic

a factor that promotes weight gain and obesity

orexigenic

a factor that stimulates appetite

Body Mass Index (BMI)

a measure of body weight relative to height

ascites

an albumin-rich fluid accumulation in the peritoneal cavity

dysphagia

difficulty swallowing

Adiposopathy

dysfunction of adipose tissue that causes chronic inflammation and disease

Methods to prevent dysphagia

eat slowly, chew throughly, avoid tough food, avoid overcooked meat

constructional apraxia

inability to draw figures in two or three dimensions

Asterixis

involuntary flapping movements of the hands

Best position post op bariatric surgery

low fowlers

endoscopic variceal ligation (EVL)

procedure that uses a modified endoscope loaded with an elastic rubber band passed through an overtube directly onto the varix (or varices) to be banded to ligate the area and stop bleeding

bariatric

relating to obesity; treatment of weight

types of bariatric procedures

restrictive, malabsorptive, combination

acute hepatic failure

sudden, severe onset of acute liver failure that occurs within 8 weeks after the first symptoms of jaundice (formerly: fulminant hepatic failure)

Microbiome

the collective genome of all microbes in a microbiota

Microbiota

the complement of microbes in a given environment

Genome

the total complement of individual genes in an organism

Symptoms of acute cholecystitis

very sick with fever, vomiting, tenderness over the liver (right sided flank pain), and severe pain that may radiate to the back and shoulders