Complications Of Morbid Obesity In Total Joint Arthroplasty
Writing
Please respond with a paragraph to the following question, add citations and references:
Mr.C has several risk factors that may be associated with obesity
- Height: 68 inches; Weight 134.5 kg – elevated BMI
- BP: 172/96 – Hypertension
- Fasting Blood Glucose: 146/mg/dL – Diabetes
- Total Cholesterol: 250mg/dL – Hypercholesteremia
- Triglycerides: 312 mg/dL – Hyperlipidemia
- HDL: 30 mg/dL – Hyperlipidemia
I don’t feel that would be a good candidate for bariatric surgery at this time due to the many health issues that he has. There are quite a few things that he need to get under control first. According to Mr. C’s history he has no metabolic issues that would cause him to be overweight. Although bariatric surgery is done to help people lose weight and ultimately reduce or eliminate some of the health issues that comes along with being over weight, it comes with many risk. For these reasons, I believe that it would be in his best interest to start making some life style changes first. His blood pressure is too high and he probably wouldn’t be able to tolerate the anesthesia, his fasting blood sugar is 146 so that’s also not being controlled properly. Not to mention the lipids are high. I believe that Mr. C should first attempt weight loss the traditional way by dieting and exercise first. According to the Mayo Clinic one of the requirements to be a candidate for bariatric surgery a person must first be attempt weight loss on their own naturally first.
MAR
6am
Sucralfate/Carafate 1 g or 10ml suspension
11am
Sucralfate/Carafate 1 g or 10ml suspension
3pm
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL
5pm
Sucralfate/Carafate 1 g or 10ml suspension
Bedtime
Sucralfate/Carafate 1 g or 10ml suspension
Ranitidine (Zantac) 300 mg
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL
Mr. C appears to have a sit down job and doesn’t seem to be as physially active as he could be. He would benefit from incoporating some physical activity into his current lifestyle. He says he is trying to control his hypertension by reducing his sodium intake but I feel Mr. C needs to modify his whole diet decreasing not only his sodium intake but his cholesterol, carbs, sugars and fat intake need to be decreased as well. I believe that Mr. C needs a consult with a dietician. Sleep apnea is also an issue that can contribute to many of Mr. C’s problems. The fact that he is considering bariatric surgery leads me to bellieve that he isn’t happy with his current state of health or his body image. He’s a relatively young man and has many health issues which puts him at risk for depression. ‘O besity is a risk factor for a number of conditions, and so it might be that dealing with other health issues increases the likelihood of becoming depressed, rather than the obesity being the cause(Newman, 2018).”
Mr. C is at risk for stroke and heart attack due to the elevated BP and lipids, pulmonary issues due to elevated lipids and lack of physical activity, poor air exchange, excessive weight and cardiac overload, more weight gain due to depression, poor diet and lack of exercise and mood disorders due to the many health issues and lack of motivation and ultimately death.
THE MAYO CLININC. (2019). Bariatric Surgery
Retrieved from:
https://www.mayoclinic.org/tests-procedures/bariat…
Newman,T. (2018) MEDICAL NEWS TODAY. Does depression cause obesity or does obesity cause depression? Retrieved from:
