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67 Cards in this Set

  • Front
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rf for obesity
parental overweight

familial transmission
rf for obesity
parental control of feeding

restriction of child's food intake
rf for obesity
less likely to restrict feedings
when do you treat an adult
bmi > 30

bmi > 27 w/ two comorbidities

>35 waist circum in women

> 40 in men
goal of weight loss reduction
5-10% in body weight

significant impact on health
meridia is a mixed ---- ---- drug
noradrengergic-serotonergic drug
what does meridia di w/
ssris

maois

dextromethorphan

sumatriptan

merperiden

fentanyl

lithium
se of meridia
insomin

constipation

dry mouth

elevated bp and pulse
ci meridia
uncontolled HTN

seizure

narrow angle glaucoma

severe renal and hepatic dysfunction

chf

arrhythmia

stroke

hx substance abuse
xenical inhibits
gi lipase

decrease absorption of dietary fat
se of xenical
oil spotting

liq stools

flatulence

abd pain

fecal urgency
how do you tx se of xenical
low fat meals and psyllium
adipex is a -- drug
noradrenergic drug
adipex is a sympathomimetic that --- --
suppresses appetite
how long is adipex used for
short term
is there a generic brand of adipex available
yes
zonisamide and topiramate are -- meds
antiseizure
good for overweight dm pts
metformin

also good for insulin resistant kids
se of zonisamide and topiramate
fatigue

parasthesia
acomplia is a--- recpeptor antag
CB1
this is used for cachexia
dronabinol
se of acomplia
depression

suicidal

anxiety
this combo is on trial
bupropion: increases metabolism

naltrexone: maintain loss
common se of bupropion and neltrexone
ha

constipation
stimulant and decrease in binge eating combo
phentermine

topiramate
don't recomment
otc
alli is 1/2 the dose of
orlistat
prob w/ alli
dehydration

diarrhea
alli prevents
fat soluable vits
di w/ alli
cyclosporine
what do you combine alli w/
low fat, reduced calorie diet

exercise
what must be taken w/ fiber
plenty of water
fiber
glucomman and psyllium
fiber causes pts to feel
full
fiber cuases --- weight loss
minimal
caffeine causes ----, circulating --- ---- levels, and --- consumption
lypolysis

circulating fatty acid levels

oxygen
se of caffeine
increased bp and hr

anxiety

sleeplessness

ha

gi distress
green tea contains
caffeine

cathechins
. . . antioxidant and theromogenesis of brown adipose tissue
se of green tea
caffeine effects

may increase bleeding time

stop 24 hrs prior to sx
what's replacing ephedra
bitter organge
bitter orange causes --- of brown adipose tissue
thermogenesis
se of bitter orange
like ephedra

increased bp, hr
chitosan is a --- binding agent
lipid

blocks fat absorption
chromium increases glucose uptake by cells in -- deficient individuals
chomium
se of chromium
chagnes in mood, sleep

ha

cognitive impairment

renal failure and/or rhabodmyolysis
why don't laxatives affect food absorption
work in colon
laxative -- --- is transient
weight loss
laxative can lead to serious ----, --- -- and -- ---
dehydration

electrolyte imbalance

physical dependence
caution w/ laxative in ------ ---
teenage girls
what must be taken w/ laxatives
plenty of water
se of laxatives
gi distress

cramping

flatulence
capsaicin enhance --- and --- ----- ---
thermogenesis

stimulate fat oxidation
endangered plant used as an --- ---
appetite suppressant
overweight kids
85-94th percentile
obese kids
95%
in which stage are meds intiated for kids
stage 4

along w/ very low calorie diet

weight control sx

ped weight management centers w/ a multidisciplinary team
orlistat age
>/= 12 yrs
sibutramine age for kids
>= 16
how long to geive phentermine and dietylpropion
short term

sympathomimetics
does sibutamine work in adolesence
yes
sx for kids shouel be for those w/in --- of adult height
95%

don't want to stunt growth
sx in kids reserved for thos w/ bmi ----- and
>= 40

and

serious medical condition
what must be maintained w/ sx
eating habits

physical activity

nutritional supplements
cautions w/ ipecac in
teenages

young adults

linked to several fatalities

cadiac se
se of ipecac
bradycardia

a fib

hypotension

myocarids
which stage vlcd, sx, meds
stage 4
which stage are specialist involeve

increased visits

increases intensity
stage 3