Critical Thinking Questions On Bariatric Surgery
1. What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Health risks associated with obesity includes coronary heart diseases, diabetes type 2, hypertension, hepatobiliary disease, osteoarthritis and obstructive sleep apnea. I would recommend bariatric surgery, in a study that followed 91% of all patients involved in a 3 year post bariatric surgery, “The primary endpoint was met by 5% of patients in the medical therapy group, as compared with 38% of those in the gastric bypass group and 24% of those in the sleeve gastrectomy group” (Yafi, M. 2014).
2. Medication schedule:
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO will be scheduled at 06:00 AM, 11:00 AM, 05:00, and 09:00 PM, Ranitidine (Zantac) 300 mg PO at 09:00 PM, 60 minutes before meals, while Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) will be scheduled at 06:00AM, 11 AM, 05:00 PM, and at 09:00 PM. None of the three medication interact with another thus can be administered at the same time where their schedule coincide.
3. Assess Mr. C. 's functional health patterns using the information given.
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Health-perception – health management; Mr. C is aware of the need to seek medical attention, he is aware that he is obese and is seeking for more information about bariatric. He has been on track of his weight as evidenced by his childhood stature and the last 2-3 years rapid weight gain. His past medical history reveal being hypertensive and on diet treatment – low sodium diet. He has a body mass index of 44.9 which means he is obese, his blood pressure is high, high fasting blood glucose suggestive of diabetes possibly type II diabetes, his respiratory rate is high suggestive is difficulty in breathing related to obesity. His Total Cholesterol and Triglycerides levels are high suggestive of hyperlipidemia. He has sleep apnea