Obesity

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Author:
giddyupp
ID:
70624
Filename:
Obesity
Updated:
2011-03-04 01:15:12
Tags:
Obesity PHPR523 Test4
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Description:
Obesity
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  1. What are the goals for lifestyle changes to lose weight?
    • Dietary:
    • 10% wt loss over 6mo
    • 1-2 lbs per week
    • decrease by 500-1000 kcals/d
    • Exercise:
    • 30min (or more) moderate intensity, at least 4d/wk
    • Increase gradually
  2. What are the drugs used to lose weight?
    • Orlistat
    • Phentermine
    • Buproprion
    • Exenatide
    • Pramlintide
    • Topiramate
  3. How do you counsel someone for Orlistat?
    • Wear dark clothing and bring a change of clothes with you when starting this med
    • GI SE last 1-4wks
    • Need a fat-soluble vitamin 2h before each dose
    • Eat low fat meals to decrease SE
    • If no fat in the meal, skip the dose
    • Should be used in combination with lifestyle modifications
    • Long-term use required
  4. How do you counsel someone for Phentermine?
    • Should be used short-term (approx 3mo)
    • Use with lifestyle modifications
  5. What are the SE of Phentemine?
    • Insomnia
    • Increased BP
    • Palpitations
    • Arrhythmias
  6. Which herbal supplements used for wt loss are safe?
    • Chromium
    • Fiber
    • Acai
  7. Which herbal supplements used for wt loss are effective?
    • Maybe fiber
    • Ephedra
    • Maybe hydroxycitric acid
    • Maybe Acai
  8. When is bariatric surgery appropriate?
    • BMI > 40
    • BMI > 35 with risk factors
  9. What supplements should be taken by those with bariatric surgery?
    • MVI w/ iron: containing 200% of daily values
    • Ca: 1500-2400 mg/d (citrate is preferred salt)
    • B12: 350-500 mcg/d
    • B1: 20-30 mg/d for eary sx of neuropathy; 50-100 mg/d for severe neuropathy
    • Vitamin D: 2000 IU/d
    • Vitamin A: 10,000 IU/d
    • Vitamin K: 300 mcg/d
  10. What are the medication concerns associated with bariatric surgery?
    • No extended or controlled release products
    • No NSAIDs
    • Avoid oral bisphosphonates if possible
    • Avoid alcohol
    • CCB, BBL, nitrates, TCAs, Antihistamines can cause GERD
    • Gemfibrozil increases risk of gallstones
  11. When is pharmacologic treatment appropriate for wt loss?
    • BMI > 30
    • BMI > 27 with risk factors
  12. What are the risk factors in obesity?
    • HTN
    • Dyslipidemia
    • CHD
    • DM
    • Sleep apnea
  13. What is the classification scale for obesity?
    • Underweight: < 18.5
    • Normal wt: 18.5-24.9
    • Overweight: 25-29.9
    • Obese: 30-34.9 = class I, 35 - 39.9 = class II
    • Extremely obese: 40 or more = class III
  14. What is the equation to determine BMI?
    [Wt(lbs) x 703]/Ht(in)2

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