Ameritech- COTAC I Exam # 5 Questions With 100% Correct Answers.

Can patients who have has weight loss surgery eat & drink at the same time? - Not really due to small stomach... encourage to drink before or after a meal. Can you diagnose diabetes with a finger stick? - No- doesn't give you enough information Does HHS or DKA have a higher mortality rate? - HHS Does Lantus (glargine) have a peak? - NO- works continuously for 24 hours to lower blood sugar How do you get the most accurate weight? - Weigh them at the same time every day with minimal clothing on using the same scale. Encourage them to stand on the scale vs using a bed weight scale How does a Biliary Pancreatic Diversion w/ duodenal switch work? - (most invasive) A sleeve gastrectomy is preformed first (removes 80% of stomach leaving a banana looking shape) and then bypasses the majority of the intestine by connecting the end of the intestine to the duodenum. How does a Gastric Sleeve work? - A physician removes part of the stomach (the part that releases Ghrelin- aka hunger hormone). This will reduce the urge to eat. How does a Roux-en-Y Gastric Bypass surgery work? - This will decrease the volume of the stomach by creating a new pouch that directly goes into the small intestine (duodenum/jejunum) to avoid the stomach. How does Gastric Banding work? - Lowers the volume the stomach can hold by placing a band around the outside of the stomach. Only holds about 10-15 ml's of food/liquid at a time. How does obesity affect other body systems? - Can cause HTN, HF, Hypercholesteremia, back pain, joint pain, limited mobility, Diabetes, sleep apnea, respiratory complicationsHow does Phentermine help aid in weight loss? - It helps the body feel full (works on neurological standpoint) How is diabetes diagnosed? - -A1C (>6.5 and goal will be to be <7 w/ tx) - Glucose Tolerance Test (drink sugar drink and blood sugar is checked every 15-30 minutes to see how body is reacting and bringing it down) How long does it for rapid acting insulin to take effect? - 15 minutes How soon should you take Glipizide before eating? - 30 minutes before eating