8. Obesity

Question 1

obesity is associated with

Answer 1

incr morbidity and mortality

Question 2

short term pharmacologic obesity treatment

Answer 2

phentermine
benzphetamine
diethylproprion
phendimetrazine

Question 3

long term pharmacologic obesity treatment

Answer 3

orlistat
naltrexone/bupropion
liraglutide
semaglutide
tirzepatide

Question 4

obesity

Answer 4

abnormally high amount of adipose tissue compared with lean muscle mass

Question 5

obesity is what % over ideal body weight

Answer 5

> = 20 %

Question 6

direct measures of body comp

Answer 6

underwater weighting
skin fold measurement
BIA
DEXA

Question 7

indirect measures of body comp

Answer 7

BMI
BSA
IBW
LBW
PNWT

Question 8

overweight BMI

Answer 8

25-29.9

Question 9

class 1 obesity

Answer 9

30-34.9

Question 10

class 2 obesity

Answer 10

35-39.9

Question 11

class 3 obesity

Answer 11

> =40

Question 12

LBW =

Answer 12

TBW - fat weight

Question 13

LBW compared to IDW

Answer 13

LBW > IDW

Question 14

LBW ~

Answer 14

LBW ~ 1.3*IBW

Question 15

obesity oral abs

Answer 15

unchanged

Question 16

obesity transderma/subQ absorption

Answer 16

decr subQ abs

Question 17

obesity Vd

Answer 17

incr Vd for lipophillic drugs

Question 18

hydrophylic drugs in obese pts

Answer 18

little change in Vd

Question 19

hepatic blood flow in obesity

Answer 19

increased hepatic blood flow

Question 20

what does incr hepatic blood flow mean

Answer 20

incr clearance of high extraction ratio drugs

Question 21

high extraction ratio drugs

Answer 21

propofol
ketamine
morphine

Question 22

obesity drug half life

Answer 22

incr half life due to incr Vd for lipophillic drugs

Question 23

hydrophillic drug clearance

Answer 23

incr renal clearance

Question 24

risk of failed regional block

Answer 24

1.5* higher when BMI > 30

Question 25

obese pts spinal/epidural dosing

Answer 25

20% less local anesthetic

Question 26

VA lipophiliciity

Answer 26

HIGH iso sevo des LOW

Question 27

which VA is not commonly used in obesity

Answer 27

iso

Question 28

which VA is recommended in obese pts

Answer 28

des

Question 29

sux dosing obesity

Answer 29

TBW

Question 30

vecuronium cisatracurium dosing obesity

Answer 30

IBW LBW

Question 31

roc dosing obesity

Answer 31

IBW LBW

Question 32

pancuronium dosing obesity

Answer 32

higher doses needed

Question 33

best reversal agent for obesity

Answer 33

sugammadex

Question 34

sugammadex obesity dosing

Answer 34

TBW IBW+40%

Question 35

thipental induction dose

Answer 35

LBW

Question 36

thiopental mx dose

Answer 36

TBW

Question 37

dexmedetomidine dose

Answer 37

LBW IBW

Question 38

propofol induction dose

Answer 38

LBW

Question 39

propofol mx dose

Answer 39

TBW

Question 40

etomidate dose

Answer 40

LBW

Question 41

fentanyl dose

Answer 41

LBW

Question 42

most highly lipopphilic opioid

Answer 42

sufentanil

Question 43

sufentanil dosing si

Answer 43

unpredicatble

Question 44

remi dosing

Answer 44

IBW LBM

Question 45

obesitiy is a ________ for VTE

Answer 45

independent risk factor for VTE

Question 46

all obese pts should receive

Answer 46

VTE prophylaxis

Question 47

VTE prophylaxis

Answer 47

SCDs inferior vena cava filters LMWH fondaparinux

Question 48

low VTE risk

Answer 48

LMWH or IPC

Question 49

high VTE risk

Answer 49

LMWH and IPC