case study 47 year old female weight = 505 lbs height = 5’6” bmi = 81.5 medical history: asthma,...
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Case Study• 47 year old female• Weight = 505 lbs• Height = 5’6”• BMI = 81.5• Medical History: Asthma, sleep apnea,
pulmonary hypertension, arterial hypertension, diabetes, DVT, osteoarthritis, non union of tib-fib fracture, bedrest for 1 year. Mother reports that she had a “draining sore spot” on her coccyx before admission
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Surgery & Initial Postop Course
• Roux en Y gastric bypass on August 2, 2002• Initial Postoperative Course
Ventilator dependencyTracheostomyAtrial fibrillationStrokeFluid and electrolyte imbalancesDiarrhea from tube feedingSepsis from TPNAcute renal failureRashes from plastic allergy and Candida
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One Month Postoperatively• Height = 5’6”
• Weight = 395 lbs
• BMI = 63.7
• Albumin = 2.7
• Still on ventilator in AICU
• Renal failure recovering– off SLED
• Multiple skin and wound problem
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Bariatric S1 Overview
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Bariatric S1 Ulcer 1eSeptember 5, 2002
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Bariatric S1 Ulcer 1fSeptember 5, 2002
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Bariatric S1 Ulcer 1gSeptember 5, 2002
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Bariatric S1 Ulcer 1hSeptember 5, 2002
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Bariatric S1 ThighSeptember 10, 2002
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Bariatric S1 Finger DepthSeptember 10, 2002
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Bariatric S1 PackingSeptember 10, 2002
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Bariatric S1 Packing 2September 10, 2002
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Bariatric S1 PackedSeptember 10, 2002
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Bariatric S1 Ulcer 1aSeptember 12, 2002
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Bariatric S1 Ulcer 1bSeptember 12, 2002
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Bariatric S1 Ulcer 1cSeptember 12, 2002
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Bariatric S1 Ulcer 1dSeptember 12, 2002
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Bariatric S1 CloseSeptember 18, 2002
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Bariatric PU1September 18, 2002
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Bariatric S1PU3September 18, 2002
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Bariatric DressingSeptember 18, 2002
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Bariatric S1 OR69-19-02
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Bariatric S1 OR59-19-02
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Bariatric S1 OR49-19-02
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Bariatric S1 OR39-19-02
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Bariatric S1 OR29-19-02
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Bariatric S1 OR19-19-02
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Bariatric S1 postop vacSeptember 26, 2002
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Bariatric S1 postop vac2September 26, 2002
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Bariatric S1 PU410-9-02
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Bariatric S1 PU310-9-02
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Bariatric S1 PU210-9-02
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Bariatric S1 PU110/9/02
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Bariatric S1 Breast Fold 1around 9-5-02
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Bariatric S1 Breast Fold 2around 9-19-02
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Bariatric S1 healing breast fold10-9-02