HI, please take last DQ. Hope you will hire again.
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an
appropriate intervention? Why or why not? Health risks associated with Mr. C’s
obesity include hypertension, sleep apnea, and elevated levels of cholesterol,
triglycerides, and blood sugars. If Mr. C. does not lose weight he is at even higher risks
for diabetes, cardiovascular disease, as well as cerebrovascular disease (National
Institutes of Health, 2016). With the blood sugars being what they are now, most likely
Mr. C. is either pre-diabetic or diabetic itself. Mr. C would benefit from bariatric surgery
considering he is morbidly obese with co-morbidities that can at best be eliminated due to
weight loss. The American Society for Metabolic and Bariatric Surgery (ASMBS) states
that a high reduction in mortality rates with bariatric surgery are due to the highly
significant improvement in those diseases that are caused or worsened by obesity
(ASMBS, 2016). This includes high blood pressure, diabetes, heart disease, among
Mr. C. has been diagnosed with peptic ulcer disease and the following medications
have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15
mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b)
Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml
suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10
p.m. Plan an administratio...