Mandatory Discussion Question

The case book provided will be acclimated to acknowledgment the altercation questions that follow.

Case Scenario

Mr. C., a 32-year-old distinct man, is gluttonous advice at the outpatient centermost apropos accessible bariatric anaplasty for his obesity. He letters that he has consistently been heavy, alike as a baby child, but he has acquired about 100 pounds in the aftermost 2–3 years. Previous medical evaluations accept not adumbrated any metabolic diseases, but he says he has beddy-bye apnea and aerial claret pressure, which he tries to ascendancy with sodium restriction. He accepted works at a archive blast center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Claret Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

Critical Thinking Questions

What bloom risks associated with blubber does Mr. C. have? Is bariatric anaplasty an adapted intervention? Why or why not?

Mr. C. has been diagnosed with comestible abscess ache and the afterward medications accept been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour afore bedtime and 3 hours afterwards mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml abeyance (500mg / 5mL) 1 hour afore commons and at bedtime.

The accommodating letters bistro commons at 7 a.m., noon, and 6 p.m., and a bedtime bite at 10 p.m. Plan an administering agenda that will be best ameliorative and adequate to the patient.

  1. Assess anniversary of Mr. C.'s anatomic bloom patterns application the advice given. (Hint: Anatomic bloom patterns accommodate health-perception – bloom management, comestible – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, female – reproductive, arresting – accent tolerance.)
  2. What absolute or abeyant problems can you identify? Describe at atomic bristles problems and accommodate the account for each

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