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Obesity/Bariatric Surgery

Obesity/Bariatric Surgery
by

Susan Wehlage

on 4 May 2014

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Transcript of Obesity/Bariatric Surgery

Pathophysiology
Overcoming:
Obesity = excess body fat
Morbid obesity = greater excess body fat
MORBID OBESITY
WH
Nursing Dx:
Defective Signaling
to appetite centers in brain
BARIACTRIC SURGERY
11 years old
66% American population
Morbid Obesity: 2 ways
BMI > 40
BMI > 35 plus morbidities
i.e. diabetes, HTN, cholesterol, sleep apnea, etc.
WH
50 years old
322 pounds
Result of: food
intake
and
energy expenditure
CNS
hypothalamus
controls food
intake as well
as metabolism
metabolic
Homeostasis
sudden death, heart disease, hyperlipidemia, varicose veins, venous thrombosis...
obstructive sleep apnea, hypoventilation, restrictive lung disease
diabetes, hypothyroidism, Cushing's disease
Imbalanced Nutrition: more than body requirements r/t excessive intake in relation to metabolic need aeb 322 pounds and BMI of 49 and surgical intervention (Laparoscopic Gastric Band Placement) and need for increased activity
Outcome 1:
Dietary Restrictions
NPO. Then 2 1/2 oz. swallows of liquids every 15 minutes
Intervention 1.a
Outcome 2:
Appropriate
Activities
Intervention 2. a
wear
abdominal
binder
Intervention 2.b
walk
6X
day
Zofran: nausea and vomiting
Intervention 1.b
article
article
challenge of a life-time
eat healthy food
exercise
follow-up
Cardiovascular:
Respiratory:
Endocrine:
syndrome
Laparoscopic Gastric Band Pacement
Laparoscopic Gastric Band Placement Surgery
Advantages:
less invasive
second most common
limits amount of food
vitamins
Eligibility:
Qualifying
Process:
18 years of age
BMI > 40
BMI > 35
overweight more than 5 years
short term success
diseases/ window
10% weight loss
food diary
psychological evaluation
follow-up care
commitment: diet, exercise, and behavior guidelines
pre-surgery requirements
NO smoking
NO liquids with meals
NO drinking/eating caffeine
Post-Surgery Management:
3/4 c. of food/meal; 3 meals/day
30 minutes/meal; no liquids with meals
measure and cut up food before you eat
wait 30-40 minutes after meal to drink liquids
do not use drinking straw
ADJUSTMENTS
Full transcript