Concept 5 remainder
● Obesity is 30 or greater BMI
○ Morbid obesity is 40 BMI or more and 100% over ideal body weight
● Second leading cause of preventable death in US
● Assessment
○ Food diary
○ Risk factors
○ Look under skin folds
● Restrictive bariatric surgery
○ Reduce size of stomach
● Malabsorption
○ Gastric bypass
○ Stomach and jejunum are bypassed
○ Won’t gain weight back
● Complications
○ Peritonitis
■ Sepsis
● Nursing considerations
○ JP drain measurement
○ Abdominal binder
○ Monitor O2
○ Monitor for dumping syndrome
■ High HR
■ N/V
■ Diarrhea
■ Abdominal cramping after eating
○ Most at risk for
■ B12 deficiency - loss of intrinsic factor to absorb vitamin B12
● Leads to pernicious anemia
● Need b12 injections lifelong
● To be considered for bariatric surgery you need BMI over 40 or BMI over 35 and
preexisting condition
Pancreatitis
● Pancreas eating itself - inflammation of pancreas
○ Necrotizing - lead to organ failure
● Maybe kill factors
○ Alcohol
○ Gallstones
○ Trauma
○ Metabolic disturbances hypercalcemia, hyperparathyroidism
● Symptoms
○ N/V
● Obesity is 30 or greater BMI
○ Morbid obesity is 40 BMI or more and 100% over ideal body weight
● Second leading cause of preventable death in US
● Assessment
○ Food diary
○ Risk factors
○ Look under skin folds
● Restrictive bariatric surgery
○ Reduce size of stomach
● Malabsorption
○ Gastric bypass
○ Stomach and jejunum are bypassed
○ Won’t gain weight back
● Complications
○ Peritonitis
■ Sepsis
● Nursing considerations
○ JP drain measurement
○ Abdominal binder
○ Monitor O2
○ Monitor for dumping syndrome
■ High HR
■ N/V
■ Diarrhea
■ Abdominal cramping after eating
○ Most at risk for
■ B12 deficiency - loss of intrinsic factor to absorb vitamin B12
● Leads to pernicious anemia
● Need b12 injections lifelong
● To be considered for bariatric surgery you need BMI over 40 or BMI over 35 and
preexisting condition
Pancreatitis
● Pancreas eating itself - inflammation of pancreas
○ Necrotizing - lead to organ failure
● Maybe kill factors
○ Alcohol
○ Gallstones
○ Trauma
○ Metabolic disturbances hypercalcemia, hyperparathyroidism
● Symptoms
○ N/V
