MEDICAMENTOS OBESIDAD Flashcards

1
Q

CONTRAINDICACION FENTERMINA

A

CARDIOPATIA ISQUEMICA, GLAUCOMA, HAS DESCONTROLADA E IMAO 14 DIAS

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2
Q

CONTRAINDICACION FENTER/TOPIRAMATO

A

CARDIOP ISQUÉMICA, GLAUCOMA, IMAO 14 DIAS, HAS DESCONTROLADA

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3
Q

CONTRAIND NALTREXONA/ BUPROPION

A

EPILEPSIA, HAS DESCONTROLADA, ANOREXIA NERVIOSA, BULIMIA, IMAO 14 DIAS, OPIOIDES

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4
Q

CONTAIND LORCARSERINA

A

EMBARAZO

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5
Q

CONTRAIND ORLISTAT

A

MALABSORCION, COLESTASIS

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6
Q

CONTRAIND LIRAGLUT

A

CANCER MEDULAR, HISTORIA DE NEM 2

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7
Q

COMPLICACIONES QX BARIATRICA TEMPRANAS

A

MENOS DE 30 DIAS, TEP LA MAS COMUN
DISFAGIA, PERFORACION, ABSCESO, PERITONITIS, ESTENOSIS GASTRICA, SANGRADO, HEMOPERITONEO, FUGA DE ANASTOMOSIS

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8
Q

COMPLICACIONES QX TARDIAS

A

SX DUMPING, MALABSORCION, MALNUTRICION PROTEICA, HERNIAS INTERNAS APARENTE DE LAS MAYORES COMPLICACIONES TARDIAS
ERGE EN MANGA GASTRICA

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9
Q

SINDROME DE DUMPING % DE PRESENTACION

A

40% EN LOS DE BYP Y MANGA GASTRICA
TEMPRANO (30-60MINS POSTCOMIDA)

DX CON CTOG 50GR Y AUMENTO DE 10LPM EN PRIMERA HORA

TARDIO (60-180 MINUTOS POSTCOMIDA)= POR AUMENTO SECRECION GLP-1 E INSULINA

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10
Q

TX SX DE DUMPING

A

ACARBOSA, DIAZOXIDO Y ANALOGOS DE SOMATOSTATINA

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11
Q

DX SX DE DUMPING

A

SIGSTAD SCORE CON MAS DE 7 PUNTOS

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12
Q

CIRCUNFERENCIA ABDOMINAL PARA OBESIDAD

A

> O = 88cm en mujeres y > o = a 102 en hombres

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13
Q

PP en obesidad

A

10%

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14
Q

PP en pacientes con Diabetes

A

5-15%

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15
Q

PP en sobrepeso u obesidad con Dislipidemia

A

5-10%

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