What health risks associated with obesity does Mr. C. have?
The case scenario provided will be used to answer the discussionquestions that follow. Case Scenario Mr. C., a 32-year-old single man, is seeking information at theoutpatient center regarding possible bariatric surgery for hisobesity. He reports that he has always been heavy, even as asmall child, but he has gained about 100 pounds in the last 2–3years. Previous medical evaluations have not indicated anymetabolic diseases, but he says he has sleep apnea and high bloodpressure, which he tries to control with sodium restriction. Hecurrent works at a catalog telephone center. Objective Data Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Critical Thinking Questions What health risks associated with obesity does Mr. C. have? Isbariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and thefollowing medications have been ordered: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hourbefore bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hourbefore meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., anda bedtime snack at 10 p.m. Plan an administration schedule thatwill be most therapeutic and acceptable to the patient. Assess each of Mr. C.’s functional health patterns using theinformation given. (Hint: Functional health patterns includehealth-perception – health management, nutritional – metabolic,elimination, activity-exercise, sleep-rest, cognitive-perceptual,self-perception – self-concept, role-relationship, sexuality –reproductive, coping – stress tolerance.) What actual or potential problems can you identify? Describe atleast five problems and provide the rationale for each.
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