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