INSTRUCTIONS Managing pain in obese patients
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- Registration deadline is December 31, 2013.
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Managing pain in obese patients
General Purpose: To familiarize the NP with pain management for obese patients. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. State the prevalence, contributing factors, and characteristics of obesity. 2. Describe comorbidities related to obesity and pain. 3. Discuss methods of managing pain for obese patients.
- Approximately how many people worldwide are obese?
- 5 million
- 50 million
- 1 billion
- 5 billion
- Which statement about pain in the obese patient is correct?
- Pain management can assist the patient to increase activity and lose weight.
- Obesity-related pain can be managed by lifestyle changes.
- Pain should take priority over treatment of other obesity-related diseases.
- Most healthcare providers frequently address pain-related comorbidities such as low back pain.
- Which BMI is classified as normal weight?
- Which BMI is classified as Obese Class I?
- Which physiologic change is related to increased adipose tissue?
- increase in interleukin-6
- decrease in tumor necrosis factor
- decrease in C-reactive protein
- increase in insulin sensitivity
- The percentage of patients with fibromyalgia who are classified as obese is as much as
- Which characteristic is not typical of fibromyalgia pain in the obese patient?
- chronic pain
- affects males more than females
- hyperalgesia in at least 11 specific points
- bilateral pain
- Which statement about low back pain and weight loss is accurate?
- Bariatric surgery has demonstrated a significant decrease in low back pain.
- Low back pain is equally reduced by all weight loss strategies.
- Weight loss usually reverses the effect on mechanical load bearing.
- Comprehensive multidisciplinary nonsurgical programs are as effective as surgical programs for morbidly obese patients.
- The two major risk factors for osteoarthritis are obesity and
- male gender.
- female gender.
- calcium-rich diet.
- lack of exercise.
- Which of the following should be considered for pain management in an obese patient with a history of type 2 diabetes who is having moderate-to-severe pain?
- a nonsteroidal anti-inflammatory drug
- an opioid
- Opioids for postoperative pain in most obese patients can generally be administered
- only if other medications fail.
- in smaller than usual doses.
- in usual doses.
- in larger than usual doses.
- Which is the best combination for management of postoperative pain in the obese patient?
- multimodal analgesia using regional and opioid-sparing modes
- an opioid analgesic combined with a sedative
- patient-controlled analgesia and continuous infusion
- acupuncture and yoga
- Recommendations for postoperative pain management for the obese patient include
- head of bed elevation to 20 degrees.
- endotracheal intubation.
- oxygen saturation greater than 94% while asleep on 2 liters of oxygen.
- end-tidal carbon dioxide monitoring.
- Compared to a nonobese patient receiving epidural analgesia with a local anesthetic postsurgery, the obese patient will require
- less local anesthetic.
- the same local anesthetic.
- slightly more local anesthetic.
- significantly more local anesthetic.
- Aromatherapy, using which of the following essential oils, has been shown to decrease the morphine dosage needed for postoperative pain?
- Compared to nonobese patients, renal clearance in the morbidly obese patient is most likely to be
- the same.