Bariatrics Flashcards Preview

Med Surg III exam 3 > Bariatrics > Flashcards

Flashcards in Bariatrics Deck (18):
1

Bariatric co-morbidities

Diabetes
Sleep apnea
HTN
CAD
Fungal infections

2

Android vs Gynoid

Android: apple shape, high risk

Gynoid: pear shape, low risk

3

Gastric Bypass

Sewn off pouch (1 oz)
1 death per 200-300 sx
Blood clots
Leaking at staples
Hernia
Dumping syndrome
Vitamin deficiency

4

PE

1-30 days post sx
Most frequent mortality post gastric bypass

5

Anastomotic leak post gastric bypass

1-4 wks
Life threatening
Usually within first 75 sx of surgeon

6

s/s of anastomotic leak

sustained tachycardia
fever
shoulder pain (left)
abdominal pain
SOB
RR >22
Increased thirst
Hypotension

7

Anastomotic leak treatment

Parenteral nutrition
Antibiotics
Repair

8

Dumping syndrome initial phase

15-30 min:
Nausea
Ab cramps
Tachycardia
Drop in BP
Flushing
Vomiting
Diarrhea

9

Dumping syndrome: latent phase

Cold sweats
Lightheaded/dizzy
Shakiness
Weakness
Hunger
Anxiety

10

Dumping Syndrome

High sugar food is "dumped" into small intestine

Symptoms 2-4 hrs after eating=low blood sugar

11

Low blood sugar levels

<10 mg/dl=coma

12

How to treat low blood sugar

15:15 rule
Give 15g carbs, check again in 15 min

13

Post gastric bypass protocol

Early ambulation
Pulmonary toilet (pulmonary cleansing)
Pain control

14

Lap band

Laparoscopic adjustable gastric banding

15

Lap band risks

Band leakage/slippage

Risk of internal infection

Stomach pain (from over eating)

Nutritional defiiencies

Non-compliance

16

Lap band Late post op

Exercise: walking and aquatics

Potential problems: gall stones
Stomal stenosis
Ulcers

17

Bariatric sx realistic expectations

30-90% of excess wt loss

Decreased obesity-related co-morbidities

18

How to make bariatric sx work

5 small meals a day

Daily intake of 60oz of non-carbonated beverages

Sleeping 7 hrs/night

Exercising 2.5 hrs/week

weigh in weekly