Drug Class- Weight Control
Terms
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Weight control agents are used in the management of ____ obesity as part of a regimen including a reduced-calorie diet. They are esp useful in the presence of other risk factors including
_____, ____ or _____. -
exogenous
hypertension
diabetes
dyslipidemias - Phentermine and sibutraminen are anorexiants that are designed to decrease appetite via their action in the _____.
- CNS
- ____ is a lipase inhibitor that decreases absorption of dietary fat.
- orlistat
-
Contraindications?
None of these agents should be used during pregnancy or lactation. - okay
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Contraindications?
Phentermine and sibutramine should not be used in patients with ____ or _____ disease, uncontrolled _____, known CHF, or cardiovascular disease. -
hepatic
renal
hypertension -
Contraindications?
Orlistat should not be used in patients with chronic ____. - malabsorption
-
Precautions?
Phentermine and sibutramine should be used cautiously in patients with a history of ____, narrow-angle ____, and in geriatric patients. -
seizures
glaucoma -
Interactions?
Phentermine and sibutramine may have additive, adverse effects with? (4) -
CNS stimulants
some vascular headache
suppressants
MAO inhibitors
some opioids (concurrent use
should be avoided) - Orlistat reduces absorption of some ____-____ vitamins and _____-____.
-
fat-soluble
beta-carotene -
ASSESSMENT:
Monitor ____ and dietary intake prior to and periodically during therapy. Adjust concurrent medications (name 3) as needed. -
weight
antihypertensives
antidiabetics
lipid-lowering agents -
Potential Nursing Diagnosis?
Body image, _____ - disturbed
-
Potential Nursing Diagnosis?
Nutrition, imbalanced: (phrase) - more than body requirements
-
Potential Nursing Diagnosis?
Knowledge, deficient, related to ___ ____. - medication regimen
- Advise patient that regular physical activity, approved by hcp, should be used in conjunction with medication and diet.
- okay
-
Evaluation
Clinical response to therapy can be evaluaated by? (phrase) - Slow, consistent weight loss when combined with a reduced-calorie diet.
- Name 3 weight control agents?
-
orlistat
phentermine
sibutramine