Description:

The case scena’io provided will be used to answer the discussion questions that
follow- Case Scenario Mr. C-, a 32-year-old single man, is seeking information at the
outpatient center regarding possible bariatric swgery for his obesity- He reports that
he has always been heavy, even as a small child, but he has gained about 100
pounds in the last 2-3 years- Previous medical evaluations have not indicated any
metabolic diseases, but he says he has sleep apnea and high blood pressure, which
he tries to control with sodium restriction- He cu’rent 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: 25omg/dL Triglycerides: 312 mg/dL HDL’ 30
mg/dL

Critical Thinking Questions What health risks associated with obesity does Mr. 0-
have? ls bariatric swgery an appropriate intervention? Why or why not? Mr. C- has
been diagnosed with peptic ulcer disease and the following medications have been
ordered:

Magnesium hydoxide/aluminum hydoxide (Mylanta) 15 mL PO 1 how before bedtime
and 3 hou’s after mealtime and at bedtime- Ranitidine (Zantac) 300 mg PO at bedtime-
Sucralfate/Carafate 1 g or 1oml suspension (50omg / 5mL) 1 how before meals and at
bedtime-

The patient reports eating meals at 7 am, noon, and 6 pm, and a bedtime snack at
10 pm. Plan an administration schedule that will be most therapeutic and acceptable
to the patient-

Assess each of Mr. C-‘s functional health patterns using the information given- (Hint:
Functional health patterns include health-perception – health management, nutritional
metabolic, elimination, activityexercise, sleep~rest, cognitiveperceptual, self-
perception – selfconcept, role-relationship, sexuality – reproductive, coping – stress
tolerance-) What actual or potential problems can you identify? Describe at least five
problems and provide the rationale for each-