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Unit 6A - Metabolism
Test 3
40
Nursing
Undergraduate 3
06/24/2014

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Cards

Term
What are the causes of obesity?
Definition
Too many calories & not enough exercise
Genes, metabolism, behavior, environment culture, socioeconomics
Term
What are the consequences of obesity?
Definition
-Coronary heart disease
-Type 2 diabetes
-Cancers (endometrial, breast, and colon)
-Hypertension (high blood pressure)
-Dyslipidemia (for example, high total cholesterol or high levels of triglycerides
-Stroke
-Liver and Gallbladder disease
-Sleep apnea and respiratory problems
-Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)
-Gynecological problems (abnormal menses, infertility)
Term
What is overweight clinically defined as?
Definition
a body mass index (BMI) of 25 or higher
Term
What is obesity clinically defined as?
Definition
a BMI of 30 or higher.
Term
What are the economic consequences of obesity?
Definition
Preventive cost
Diagnostic cost
Treatment services r/t obesity
Morbidity cost
Mortality cost
Term
What is a morbidity cost?
Definition
Income lost from: decreased productivity, restricted activity, absenteeism, bed days
Term
What is mortality cost?
Definition
Income lost by premature death
Term
What can you eat prior to bariatric surgery?
Definition
Pureed food for 2-3 wks-then soft-then reg
Term
How much does a stomach hold prior to bariatric surgery?
Definition
1 cup chewed food
Term
How many meals should you eat a day with bariatric surgery?
Definition
Eat small amounts and slowly over 20-30 min.
Eat 6 small meals throughout the day
Term
How much water should you drink a day after bariatric surgery?
Definition
8 cups daily
Term
When should you not drink water?
Definition
for 30 min. after eating or while you eat
Term
What supplements should you take post bariatric surgery?
Definition
Multi vit w/iron, Vit B12, Calcium 1200mg/day, Vit D
Term
What foods should you avoid?
Definition
high fat/ high calorie foods
pasta, rice, bread, raw veggies, meats, popcorn, nuts, fiber foods
Term
If you gain weight or stop losing weight after bariatric surgery, should you call the PCP?
Definition
Yes
Term
If you vomit post eating, should you call PCP?
Definition
Yes
Term
If you have diarrhea most of the time, should you call PCP?
Definition
Yes
Term
If you're dizzy or sweating, should you call the PCP?
Definition
Yes
Term
If you have a temperature or the signs/symptoms of an infection, should you call the PCP?
Definition
Yes
Term
If you are jaundiced, should you call PCP?
Definition
Yes
Term
Who can take medications for obesity?
Definition
A BMI of 30 or greater OR
A BMI of 27 or greater and you have obesity related medical problems like high BP, diabetes, high cholesterol
Term
What is Orlistat?
Definition
Weight loss aid. Called XENICAL.
Term
Who can take orlistat?
Definition
Children ages 12+
Term
What is the lower dose of Orlistat called?
Definition
ALLI
Term
Can kids take ALLI?
Definition
NO
Term
How does Orlistat/ALLI work?
Definition
Blocks some of the fat you eat from being absorbed.
Term
What are the side effects of Orlistat/Alli?
Definition
Stomach pain, gas, diarrhea, and leakage of oily stools. Rare liver injury can occur. Should not take with cyclosporine.
Term
What is Lorcaserin?
Definition
Weight loss aid. Called BELVIQ.
Term
Who can use Lorcaserin/BELVIQ?
Definition
Adults ONLY (B)
Term
How does Lorcaserin/BELVIQ work?
Definition
Acts on the serotonin receptors in the brain which may help you eat less and feel fuller after eating smaller amounts of food.
Term
What are the side effects of Lorcaserin/BELVIQ?
Definition
Headaches, dizziness, feeling
tired, nausea, dry mouth, cough,
and constipation. Should not be
taken with selective serotonin
reuptake inhibitors (SSRIs) and
monoamine oxidase inhibitor (MAOI)
medications.

CAN CAUSE SEROTONIN SYNDROME
Term
What is Phentermine-topiramate?
Definition
Weight loss aid. Called QSYMIA.
Term
Who can use Phentermine-topiramate/QYSMIA?
Definition
Adults ONLY (Q)
Term
How does Phentermine-topiramate/QSYMIA work?
Definition
phentermine
(suppresses your appetite and curbs
your desire to eat) and topiramate
(used to treat seizures or migraine
headaches). May make you feel full
and make foods taste less appealing
Term
What are the side effects of Phentermine-topiramate/QSYMIA?
Definition
Tingling of hands and feet, dizziness,
taste alterations (particularly with
carbonated beverages), trouble
sleeping, constipation, and dry
mouth.

ONLY sold at certified pharmacies
Term
Should you take Phentermine-topiramate if pregnant or trying to become pregnant?
Definition
MAY LEAD TO BIRTH DEFECTS.

So, no.
Term
How do phentermine, benzphetamine, diethylpropion and phendimetrazine work?
Definition
Increase chemicals in the brain that
affect appetite. Make you feel that
you are not hungry or that you are
full.
Term
What are the side effects or phentermine, benzphetamine, diethlproporion, and phendimetrazine?
Definition
Dry mouth, difficulty sleeping,
dizziness, headache, feeling
nervous, feeling restless, upset
stomach, diarrhea, and constipation.

ANTICHOLINERGIC
Term
How long should you take phentermine, benzphetamine, diethlproporion, and phendimetrazine?
Definition
Only FDA approved for a short
period of time (up to 12 weeks).
Term
What is the thrifty genotype theory?
Definition
In other words, according to the "thrifty genotype" hypothesis, the same genes that helped our ancestors survive occasional famines are now being challenged by environments in which food is plentiful year round.
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