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38 Cards in this Set
- Front
- Back
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ObesityBMI
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30 or over
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Overweight BMI
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25-30
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Obesity definition in terms of body fat
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Having a high ratio of body fat to lean body mass
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Formula for BMI
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kg/m2
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Basic way of gaining weight
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Consuming more energy than you expend
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How many excess Calories equate to one pound gain
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3500 Calories
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Which women have highest obesity?
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AA women
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Which men have highest obesity?
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Hispanic men
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Which race has lowest obesity?
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AAAAsian
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Which brain center regulates appetite?
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Hypothalamus
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Optimal W/H ratio
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less than 0.8
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What is a hight W/H indicative of?
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Risk for CVD
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Gynoid obesity
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Pear shaped - big hips
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Android obesity
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Apple shaped - fatter upper body
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Which type of obesity has higher association with CVD?
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Android obesity
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Which high levels is android obesity associated with?
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High cholesterol and high lipids
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Is DM a risk associated with obesity?
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Yes - probably type II DM
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Is cancer a risk associated with obesity?
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Yes
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Lab tests for obesity
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HDL, LDL, triglycerides, liver function, fasting blood glucose,
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What is the best way to help clients assess portion control?
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Equate quantities of certain foods to the sizes of familiar objects.
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Two classes of drugs that reduce appetite?
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Noradrenergice
Seratonergic |
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How long can you take these drugs?
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12 weeks or less
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Which drug reduces food absorption?
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Orlistat
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What kind of side effects occur while taking Orlistat
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GI
Stool leakage, flatulence, diarrhea, bloating |
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Short term obesity measure, in short
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Do not result in long-term weight loss
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Three types of bariatric surgey
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Restrictive (shrink stomach)
Malabsorptive (intentional short gut) Combo of both |
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Indications for bariatric surgery
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BMI over 40
OR BMI over 35 with comorbidities OR last resort |
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Gastric bypass, in short
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A small pouch of the stomach and its new tube is anastomized to the jejunum - so it bypasses a very absorptive portion of the small intestines
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Which bariatric surgery is most effective?
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Biliopancreatic diversion with duodenal switch
-However, most likely to lead to malnutrition |
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Why are bariatric surgery patients at higher risk with anesthetics?
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The anesthetics get stored in the adipose - so they're at risk for re-sedation
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Rule of NG tube with bariatric patients
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Don't touch NG tube until you have specific orders
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Bariatric surgery diet progression
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Clear fluids--- pureed high protein--- solids after 4-6 weeks
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First year weight loss with bariatric surgery
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Rapid during first year
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Solids diet in first year after bariatric surgery
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High protein, low carbs, low sugar, low fat
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How many meals should a bariatric patient eat per day?
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Six small meals
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Fluid restriction with bariatric surgery
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No fluids with meals
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Metabolic syndrome
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Abdominal obesity and insulin resistance
Can't maintain stable amounts of glucose |
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Tx for metabolic syndrome
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Lifestyle modification
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