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Obese Patients
CME Assessment
CME Assessment
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When does excessive weight gain occur?
When calories consumed exceed calories spent
When calories consumed does not exceed calories spent
When excessive fluid intake occurs
When the patient is on a diet
Causes of Obstructive sleep apnea (OSA in obesity):
Anatomical imbalance from excess upper airway fat deposition
Changes in upper airway muscle tone
Alterations in the control of ventilation.
All of the above
Reason to utilize the ramp position:
Easier to transport the patient
Decreases the risk for aspiration and makes ventilating the lungs easier
Makes the patient more comfortable
Challenges the intubation process by shifting the chest and abdominal contents inferiorly
Skin challenges related to obesity include:
Clothes tightness
Swollen lower extremities
Pressure ulcers, delayed wound healing
Redness
Complications of band procedures:
Band erosion
Band leak, migration slip
Both
None of the above
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