Exam (elaborations)
CSOWM (1)
Exam of 20 pages for the course NUR 321 - problems with excretion - renal system p at NUR 321 - problems with excretion - renal system p (CSOWM (1))
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CSOWM"5 2 1 0" message - ANS->/= 5 servings fruits and veggies
<2 hours screen time
1 hour PA
0 sugary beverages
Acanthosis nigricans - ANS-risk of insulin resistance (dark color of skin folds)
10% of white ob. kids
50% of black ob. kids
associated with high BMI, hyperinsulinemia
AHA/ACC/TOS weight loss guidelines - ANS-3-5% loss is likely to result in clinically
meaningful reductions in TG, BG, A1c, and DM risk
Women- 1200-1500
Men- 1500-1800
High intensity counseling >/=14 sessions in 6 months
weight loss maintenance - monthly visits monitor:
1. 200-300 minutes/wk activity
2. body weight
3. reduced calorie diet
Appetite meds for CVD - ANS-Orlistat
Lorcaserin
Appetite meds for elderly patient - ANS-use meds with caution
Appetite meds for ESRD - ANS-only orlistat or liraglutide
Appetite meds for HTN - ANS-orlistat
lorcaserin
qysemia
liraglutide
,Appetite meds for post-op pts. with 25% weight regain - ANS-Lifestyle intervention +
Liraglutide OR phentermine/topiramate
Appetite meds for pts with depression - ANS-Orlistat
lorcaserin
Phen/Topir
Avoid lorcaserin and naltrexone/bupropion if taking SSRI or SNRI
Appetite meds for pts. with addiction/alcohol abuse hx - ANS-orlistat, liraglutide
lorcaserin- may cause euphoria
naltrexone/bupropion-lowers seizure threshold and contraindicated during alcohol
withdrawl
Appetite meds for pts. with anxiety - ANS-use phentermine/topiramate with caution
Appetite meds for pts. with binge eating - ANS-Cognitive Behavioral Therapy +
orlistat or Topiramate and bupropion
and SSRI
Appetite meds for pts. with glaucoma - ANS-liraglutide, orlistat, lorcaserin
Appetite meds for pts. with hx opiod use - ANS-Phentermine/topiramate
lorcaserin
liraglutide
orlistat
Appetite meds for pts. with Psych disorders - ANS-Metformin
Appetite meds for pts. with seizure disorders - ANS-Phentermine/topiramate, lorcaserin,
liraglutide, orlistat
Appetite suppressant to avoid before/during pregnancy - ANS-Topiramate
Are skinfold thickness and waist circumference appropriate for children? - ANS-No, they
are not recommended because they do not have cutoffs or data to support them in
adolescents
AUDIT - ANS-alcohol screening
, Avoid these wt loss medications with CVD - ANS-Sypathomimetics
Avoid these wt loss meds with HTN/HD - ANS-Sympathomimetics
(phentermine/diethylproprion)
B12 deficiency s/s - ANS-elevated MVC, RDW, MMA, unconjugated bilirubin
Whole body: fatigue or lightheadedness
Also common: pallor, sensation of pins and needles, shortness of breath, weight loss, or
inflamed stomach
shortness of breath
muscle weakness
abnormal paleness of the skin
glossitis (swollen tongue)
loss of appetite/weight loss
diarrhea
nausea
fast heartbeat
smooth or tender tongue
tingling in hands and feet
numbness in extremities
Band name: Victoza/Sandexa - ANS-Liraglutide
Bariatric surgery patient pre-op requirements - ANS-Labs (nutrients)
History and Physical
Lab tests (FBS, lipid, kidney, liver, PT/INR, CBC)
OSA screening
ECG/CXR/Echo
GI eval (H. pylori, gallbladder, upper GI- endo)
Endocrine (A1c, TSH, androgens, Cushings)
Nutr. Assessment
Psych Assessment
Doc. letter of necessity
Informed consent
Financial
Pre-op weight loss
Stable BS
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