Nursing management

• Lifestyle therapy is the first line of intervention

  • manage LDL cholesterol
  • stop smoking
  • lower BP
  • weight loss
  • reduce glucose levels
  • increase physical activity
  • healthy dietary habits
• Medication therapy

  • cholesterol lowering meds
  • antihypertensive
  • antidiabetic
• Nutritional therapy

  • decrease food intake (smaller portions)
  • 800-1200 calories
  • discourage elimination of many food categories
• Physical activity

  • 150 minutes of moderate/vigorous aerobic activity per week
  • helps reduce waist to hip ratio
  • lower rate of mortality without being lean
  • psychological, sleep and energy benefits
• Behavior modification techniques

  • self monitoring
  • stimulus control
  • non food rewards
  • support groups
• Medication therapy

  • conjunction to nutrition therapy, physical activity and behavior modification = NOT A CURE
  • reserved for pts with BMI over 27 and with comorbid conditions
• Medication therapy

  • Xenical: blocks fat breakdown and absorption, undigested fat is excreted in feces
  • Ozembic/saxenda: blocks glucagon like peptide
  • Contrave: control hunger
• Bariatric surgery is used to treat morbid obesity = strict criteria for consideration for surgery. Only treatment to have a successful and lasting impact for sustained weight loss