Critical Care of the Morbidly Obese

Jun 21st, 2015
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This article describes the special needs of the critically ill morbidly obese, with a focus on the care of the postoperative obesity surgery patient. The technique of surgery is described elsewhere in this journal. Details of nursing care complicated by obesity are discussed. Environment of care modifications required for routine care of the morbidly obese in critical care are detailed. Pharmacokinetic factors to be considered are reviewed. A case study is presented to coalesce concepts presented.

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Nursing In-Service Critical Care of the Morbidly ObeseThis article describes the special needs of the critically ill morbidly obese, with a focus on the care of the postoperative obesity surgery patient. The technique of surgery is described elsewhere in this journal. Details of nursing care complicated by obesity are discussed. Environment of care modifications required for routine care of the morbidly obese in critical care are detailed. Pharmacokinetic factors to be considered are reviewed. A case study is presented to coalesce concepts presented.THIS ARTICLE describes the special needs of the critically ill morbidly obese, with a focus on the care of patients following obesity surgery. Most obesity surgery patients are admitted to the general surgical floor postoperatively. Patients who require critical care (either intensive or intermediate care) are considered a variance. These patients have had an unusual and unexpected outcome of surgery, or have significant comorbid disease related to obesity that warrants closer monitoring than can be provided on a general surgical floor. Morbidly obese patients who require critical care are especially challenging because all routine care is complicated by size. This article will review triage criteria, volume resuscitation in the initial postoperative period, body mechanics, unit modification, complications of immobility, alterations in drug therapy, and maintaining the artificial airway.CASE STUDYThis case study prese

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