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67 Cards in this Set
- Front
- Back
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rf for obesity
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parental overweight
familial transmission |
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rf for obesity
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parental control of feeding
restriction of child's food intake |
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rf for obesity
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less likely to restrict feedings
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when do you treat an adult
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bmi > 30
bmi > 27 w/ two comorbidities >35 waist circum in women > 40 in men |
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goal of weight loss reduction
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5-10% in body weight
significant impact on health |
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meridia is a mixed ---- ---- drug
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noradrengergic-serotonergic drug
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what does meridia di w/
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ssris
maois dextromethorphan sumatriptan merperiden fentanyl lithium |
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se of meridia
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insomin
constipation dry mouth elevated bp and pulse |
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ci meridia
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uncontolled HTN
seizure narrow angle glaucoma severe renal and hepatic dysfunction chf arrhythmia stroke hx substance abuse |
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xenical inhibits
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gi lipase
decrease absorption of dietary fat |
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se of xenical
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oil spotting
liq stools flatulence abd pain fecal urgency |
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how do you tx se of xenical
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low fat meals and psyllium
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adipex is a -- drug
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noradrenergic drug
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adipex is a sympathomimetic that --- --
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suppresses appetite
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how long is adipex used for
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short term
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is there a generic brand of adipex available
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yes
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zonisamide and topiramate are -- meds
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antiseizure
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good for overweight dm pts
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metformin
also good for insulin resistant kids |
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se of zonisamide and topiramate
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fatigue
parasthesia |
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acomplia is a--- recpeptor antag
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CB1
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this is used for cachexia
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dronabinol
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se of acomplia
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depression
suicidal anxiety |
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this combo is on trial
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bupropion: increases metabolism
naltrexone: maintain loss |
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common se of bupropion and neltrexone
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ha
constipation |
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stimulant and decrease in binge eating combo
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phentermine
topiramate |
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don't recomment
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otc
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alli is 1/2 the dose of
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orlistat
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prob w/ alli
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dehydration
diarrhea |
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alli prevents
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fat soluable vits
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di w/ alli
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cyclosporine
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what do you combine alli w/
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low fat, reduced calorie diet
exercise |
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what must be taken w/ fiber
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plenty of water
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fiber
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glucomman and psyllium
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fiber causes pts to feel
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full
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fiber cuases --- weight loss
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minimal
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caffeine causes ----, circulating --- ---- levels, and --- consumption
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lypolysis
circulating fatty acid levels oxygen |
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se of caffeine
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increased bp and hr
anxiety sleeplessness ha gi distress |
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green tea contains
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caffeine
cathechins . . . antioxidant and theromogenesis of brown adipose tissue |
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se of green tea
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caffeine effects
may increase bleeding time stop 24 hrs prior to sx |
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what's replacing ephedra
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bitter organge
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bitter orange causes --- of brown adipose tissue
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thermogenesis
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se of bitter orange
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like ephedra
increased bp, hr |
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chitosan is a --- binding agent
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lipid
blocks fat absorption |
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chromium increases glucose uptake by cells in -- deficient individuals
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chomium
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se of chromium
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chagnes in mood, sleep
ha cognitive impairment renal failure and/or rhabodmyolysis |
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why don't laxatives affect food absorption
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work in colon
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laxative -- --- is transient
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weight loss
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laxative can lead to serious ----, --- -- and -- ---
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dehydration
electrolyte imbalance physical dependence |
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caution w/ laxative in ------ ---
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teenage girls
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what must be taken w/ laxatives
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plenty of water
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se of laxatives
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gi distress
cramping flatulence |
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capsaicin enhance --- and --- ----- ---
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thermogenesis
stimulate fat oxidation |
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endangered plant used as an --- ---
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appetite suppressant
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overweight kids
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85-94th percentile
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obese kids
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95%
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in which stage are meds intiated for kids
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stage 4
along w/ very low calorie diet weight control sx ped weight management centers w/ a multidisciplinary team |
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orlistat age
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>/= 12 yrs
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sibutramine age for kids
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>= 16
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how long to geive phentermine and dietylpropion
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short term
sympathomimetics |
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does sibutamine work in adolesence
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yes
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sx for kids shouel be for those w/in --- of adult height
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95%
don't want to stunt growth |
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sx in kids reserved for thos w/ bmi ----- and
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>= 40
and serious medical condition |
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what must be maintained w/ sx
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eating habits
physical activity nutritional supplements |
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cautions w/ ipecac in
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teenages
young adults linked to several fatalities cadiac se |
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se of ipecac
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bradycardia
a fib hypotension myocarids |
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which stage vlcd, sx, meds
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stage 4
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which stage are specialist involeve
increased visits increases intensity |
stage 3
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