at Case Study Due Tomorrow June at 11 am NO Plagiarism
Mr. C., a 32-year-old uncompounded man, is seeking counsel at the outunrepining benevolence concerning practicable bariatric surgery for his fleshiness. He reports that he has frequently been stolid, equal as a feeble cadet, but he has gained about 100 pounds in the decisive 2–3 years. Previous medical evaluations possess not indicated any metabolic maladys, but he says he has doze apnea and tall rank constraining, which he tries to govern following a while sodium exclusion. He vulgar works at a catalog telephone benevolence.
Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Rank Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions
What soundness risks associated following a while fleshiness does Mr. C. possess? Is bariatric surgery an expend mediation? Why or why not?
Mr. C. has been diagnosed following a while peptic ulcer malady and the subjoined medications possess been ordered:
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour precedently bedtime and 3 hours following mealtime and at bedtime.
Ranitidine (Zantac) 300 mg PO at bedtime.
Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour precedently meals and at bedtime.
The unrepining reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an government list that accomplish be most sanitary and satisfactory to the unrepining.
Assess each of Mr. C.'s functional soundness patterns using the counsel fond. (Hint: Functional soundness patterns comprise soundness-perception – soundness conduct, nutritional – metabolic, extraction, activity-exercise, doze-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – pressure tolerance.)
What explicit or undeveloped problems can you confirm? Describe at last five problems and stipulate the rationale for each.