Why I'm Medicated
This medication lowers cholesterol, but can also slightly increase blood sugars and its concentration increases when grapefruit juice is consumed.
What is Atorvastatin?
The clinical name for gallbladder removal.
What is the cholecystectomy?
What are the 3 most common reasons for readmission after bariatric surgery?
What is the leading cause of death worldwide?
CVD
This anticoagulant has many drug-nutrient interactions, including an increased risk of bleeding with garlic, omega-3, and Vitamin E intake or an inconsistant intake of vitamin K.
What is Warfarin?
What are osmotic laxatives; dehydration with inadequate fluid intake.
In Ulcerative Colitis, this condition can be done, but this other condition is done for Crohn's disease.
What is Colectomy and what is bowel resection?
>40 or >35 w/ comorbidity
The goal of metabolic syndrome.
To identify the risk for chronic disease and prevent progression through lifestyle modification
This weightloss medication reduces the absorption of fat, increasing steatorrhea and the risk of fat-soluble vitamin deficiencies. If taking this medication, how soon after can you take a FSV supplement?
What is orlistat? 2 hours before or after.
Three conditions we want to increase fiber intake for
Constipation, Diverticulosis, and IBD
This procedure involves the removal of the pancreatic head, as well as parts of the small intestine and possibly the gallbladder, too.
What is the Whipple Procedure? (pancreaticojejunostomy)
Four Bariatric Surgery requirements.
>18yo
Complete bone growth as shown by DEXA
6 month attempt at natural weightloss w/o medication
Not pregnant or lactating within 12-18 months
Differentiate between modifiable and nonmodifiable risk factors
Modifiable = control over (diet, exercise, etc.)
Non-modifiable = lack control of (environment, genetics)
This blood pressure lowering medication increases urination, increasing the risk of deficiencies for 2 electrolytes and toxicities of 2 other micronutrients.
What is Hydrochlorothiazide? Deficiencies = magnesium and potassium; toxicities = calcium and Vitamin D
This procedure gives us a visual of the duodenum and up while its opposite gives us a visual of the jejunum and down
What is the endoscopy (esophagogastroduodenscopy) and what is a colonoscopy?
How many stages of bariatric post-op diets are there? Give one example of food at each stage.
Broth, yogurt, steamed broccoli, baked chicken, roasted brussel sprouts.
ALL 5 Metabolic Syndrome diagnostic criteria
Waist circumference
TG >150mg/dL
HDL<40mg/dL men, <50mg/dL women
BP >130/85
FBG > 100mg/dL
It is common for supplementation of this vitamin when taking this antidiabetic medication that doesn't cause weight gain but can cause upset stomach. How can you educate a patient to take this medication so they don't have an upset stomach?
The 2 Restrictive bariatric surgeries. What makes them restricitve? How do they differ?
What are the Lap Band and Gastric Sleeve surgeries? Restrictive because they limit the amount of food that can be taken in at once. Lap Band puts an adjustable band around the fundus of stomach to make a small pouch and the gastric sleeve removes 80% of stomach, leaving behind a small "sleeve" of a stomach.
3, 6, 9, 12, 18, and 24 mos
What is the initial goal for patients diagnosed with metabolic syndrome?
Lose 3-5% of total weight to see improvement with CVD risk; 7-10% to see improvement with insulin resistance; 10% to see reduced BMI and lower risk of NCD.
This antisthetic is a GABA agonist that increases blood lipids (increased risk for rhabdo) and increases risk for zinc deficiency.
What is propofol?
The 2 Restrictive-Malabsorptive bariatric surgeries. How do they work? How do they differ?
What are the Roux-en-Y and BPD (biliopancreatic diversion) surgeries. They reduce the size of the stomach to limit food intake at once and bypass part of the small intestine, limiting the amount of nutrients that can be absorbed at a time. Roux-en-Y bypasses the dudenum and BPD bypasses the duodenum and jejunum.
Why do we put patients through the 2-week pre-op diet? What is one psychological concern for those undergoing bariatric surgeries?
To test their ability and readiness to adhere to a restrictive diet/lifestyle
The potential they will replace the food addiction with another habit.