Brevard
County
Pharmacy Association Online Newsletter
June 2005
P.O. Box 10054 Port St.John, Florida 32927 Tel: VM 321-633-9579 www.brevardpharmacy.com
Officers:
Executive Committee:
President….…..…..Karen
Bills
Chairman…
Kas Ghayal
Member….Theresa Tolle
Secretary………….Jamie
Treasurer………….Jeff
Broxson
Member……Val Ingoldsby
Newsletter……….Kim
Giacomelli
Member……Chris Lent
and Jamie Wilson
Member……Mike Edwards
Program
Chair……Maggie Daly
Continuing
Education
TBA
Check
out this site for Live online courses. Registration is free, but various
charges apply for each course: http://www.continuingeducation.com/
In
This Issue
·
Gastric bypass
·
·
If you have not checked the website recently
you may be missing great information!
·
To keep informed of important and up to date
changes involving your profession visit the Florida Pharmacy Association
website at www.pharmview.com
or our own Brevard County Pharmacy Association website at www.brevardpharmacy.com
If
you are having problems receiving your newsletter by e-mail or mail please
contact Kim Giacomelli at kgiaco@earthlink.net
or 321-242-2996 or 321-508-2742 or Jamie Wilson at FLASUNLVR@aol.com
or 321-242-2996
Editor’s
note: I often feel overwhelmed by the amount of professional literature
received in the mail and on the internet. I assume you feel the same. If not,
then either, I am doing something wrong or you have not checked your mailbox
lately! I attempt to make this newsletter educational and pertinent to
practice. Feel free to e-mail me with requests, comments, or even criticism.
(Of course, all critics will need to sit through a lengthy tutorial on paper
manufacturing.) Basically, I hope to encourage you to speak out about your
profession!
Laughter
is the best medicine
Actual Medical Chart Notes
Patient
has two teenage children, but no other abnormalities.
Patient
has chest pain if she lies on her left side for over a year.
On
the second day the knee was better, then on the third day it disappeared.
The
patient is tearful and crying constantly. She also appears to be depressed.
Gastric
Bypass
PROCEDURE:
 | STEP
1
-- The first step in the surgical procedure makes your stomach smaller.
The surgeon divides the stomach into a small upper section and a larger
bottom section using staples that are similar to stitches. The top section
of the stomach (called the pouch) will hold your food. | STEP
2
-- After the stomach has been divided, the surgeon connects a section of
the small intestine to the pouch. When you eat, the food will now travel
from the pouch through this new connection ("Roux limb"),
bypassing the lower portion of the stomach. The surgeon will then
reconnect the base of the Roux limb with the remaining portion of the
small intestines from the bottom of the stomach, forming a y-shape. | |
CANDIDATES:
| A
Body
Mass Index (BMI) of 40 or more. BMI is a calculation based on height
and weight that is used to determine whether you are of normal weight or
are overweight. Someone with a BMI of 40 or more is at least 100 pounds
over their recommended weight. A normal BMI is between 18.5 and 25. | A
BMI of 35 or more along with a life-threatening illness that can be made
better with weight loss, such as sleep
apnea, type
2 diabetes, and heart
disease. | |
RISKS:
·
Bleeding
·
Infections
·
Follow-up
surgeries to correct complications, or to remove excess skin
·
Gallstones
due to significant weight loss in a short amount of time
·
Gastritis
(inflammation of the lining of the stomach)
·
Vomiting
from eating more than the stomach pouch can hold
·
Iron
or vitamin B12 deficiencies (if they occur) can lead to anemia
·
Calcium
deficiency (if it occurs) can contribute to the development of early
osteoporosis or other bone disorders
Gastric
bypass surgery was developed to induce weight loss and to avoid the medical
complications of severe obesity. The surgery greatly reduces the stomach to
the size of a small egg. A healthy diet after surgery helps with healing and
maintains nutritional health.
Making new food choices and developing new eating habits helps achieve
and maintain weight loss and prevent nutrition-related deficiencies or
complications such as anemia
and osteoporosis.
Key
Points to Follow after Surgery
1.
Put protein first at meals. After surgery, protein helps heal
wounds and helps reduce muscle loss. It is rich in important nutrients such as
zinc, iron, and magnesium.
Chew red meats thoroughly to avoid serious problems, such as stomach
obstruction or regurgitation.
2. Maintain a half-cup portion size at
meals for the first six months after surgery. Increase portions thereafter
to one cup. Frequent overeating at meals hinders weight loss and stretches the
stomach. So if you exceed the one-cup portion, consult a doctor or dietitian.
3. Avoid high-calorie drinks.
These include regular soda, pre-sweetened iced tea, alcohol, and fruit-juices.
Also
avoid carbonated beverages because they can cause excessive discomfort and
stretch the stomach.
5. Drink enough fluids. Consume at
least six cups or forty-eight ounces of fluid a day. Remember to sip slowly
and avoid gulping. A straw may
help slow down or control fluid intake.
For the first month after surgery:
Drink protein-rich fluid as much as possible. (Examples include: one percent
or skim milk, nutrient supplements such as Ensure® or No-Sugar-Added
Carnation)
6. Eat slowly and
stop eating and drinking when you are full. Pay attention to signs of
fullness to prevent overeating. Overeating or bingeing can stretch the stomach
and hinder weight loss.
7. Stick to sugar-free, low-fat foods.
Foods high in sugar and fat may cause diarrhea, abdominal discomfort or "dumping
syndrome." And they can slow weight loss.
Dumping syndrome results from a
rapid passage of food into the small intestine and shifts fluid too quickly
into the intestine. The result often is diarrhea and dehydration. Cramping,
sweating, flushed appearance, dizziness, weakness, and headache characterize
dumping syndrome.
Medications/Supplements: Many gastric bypass patients have other
disease states: diabetes, hypertension, hyperlipidemia. The patient needs to
continue medications after surgery. Medications should not be stopped until
advised by their surgeon or primary care physician. Patients may need to crush
tablets just after surgery in order to absorb medication. Therefore, sustained
release products are not recommended. Diuretics are also not recommended due
to chance of dehydration.
Vitamin supplementation should consist of a multivitamin, iron, B12, calcium, and possibly zinc, vitamin A, C, and E.
Sources:
Medline Plus, John Hopkins,
Did you know? If an FPA member recruits 10 new regular members they become
eligible for induction into the #1 Club. Membership includes free
registration
to next year's Annual meeting and Convention in
2005 marks the 20th anniversary of the #1 Club - and to increase its
visibility, we are sponsoring a Unit Association Membership Challenge.
The Challenge.....
The Unit Association who has the most inductees to the #1 Club at the 2005
convention wins an award!
The value of the free Convention registration (approximately $300) alone is
worth the effort of getting 10 unit members to join the FPA.
Professionally Yours,
Carmen Aceves-Blumenthal, B.S. Pharm, M.S., FASCP
Vice-Speaker,