Pharmacotherapy and Surgery Treatment for the Severely Obese Adolescent

Pharmacotherapy and Surgery Treatment for the Severely Obese Adolescent

Department www.jpedhc.org Pharmacology Continuing Education Pharmacotherapy and Surgery Treatment for the Severely Obese Adolescent Contact hours: ...

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Department

www.jpedhc.org

Pharmacology Continuing Education

Pharmacotherapy and Surgery Treatment for the Severely Obese Adolescent Contact hours: 1.0 Passing score: 70% This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program and earn a 70% or higher score on the post test will be awarded 1.0 NAPNAP contact hours, of which 1.0 is pharmacology content.

INSTRUCTIONS To obtain continuing education credit: 1. Read the article carefully. 2. Read each question and record your answer on the enrollment form. 3. Complete the program evaluation questions. Please note that you will not receive credit unless the evaluation questions are completed. 4. You must receive 70% correct responses to receive the certificate. 5. Tests will be accepted up to 12 months from the date of publication.

OBJECTIVES Based on the content of the article, you will be able to: 1. Identify the FDA-approved pharmacotherapies for severe adolescent obesity. 2. Discuss the primary care co-management of a patient who is being treated for obesity with either sibutramine or orlistat. 3. Describe current recommendations for referring obese adolescents to a bariatric surgery program. 4. Develop a primary care management plan for an adolescent who has had bariatric surgery.

Journal of Pediatric Health Care

Two Ways to Earn Your CE Contact Hours Earn CE Contact Hours Online Contact Hours for this online activity are FREE for NAPNAP Members. NonMembers will be charged a fee of $10 to receive Contact Hours for this online activity through PNPSourCE. Payment can be made by credit card through PNPSourCE. 1. To take the Post Test for this article and earn contact hours, please go to PNPSourCESM at www.napnapce.org. 2. Under Course Categories, JPHC Post Tests, click the name of the CE Article. 3. If you already have an account with PNPSourCESM, log in using your username and password. If you are a NAPNAP member, log in with your member ID number and password. If you are a first-time user and NAPNAP nonmember, click on ‘‘Create New Account.’’ 4. Once you have successfully passed the Post Test and completed the evaluation form, you will be able to print out your certificate immediately.

Earn CE Contact Hours By Mail 1. Mail your completed form with your check for $10.00 (members) or $15.00 (non-members) to NAPNAP, 20 Brace Rd, Suite 200, Cherry Hill, NJ 080342634. If you wish, you may photocopy the form rather than tear the page out of the Journal. 2. Answers to the test will be graded and then you will receive a certificate for successful completion within 6 weeks of receipt of answers at NAPNAP.

CE TEST QUESTIONS 1. The Endocrine Society recommends that pediatric patients be treated with pharmacotherapy (either sibutramine or orlistat) if they meet the following criterion:

A. The child has a body mass index (BMI) >50kg/m2 B. A formal intensive lifestyle modification program has failed to limit weight gain C. The child is Tanner stage 4 maturity

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D. The child/family have an established relationship with a primary care provider who can monitor the drug therapy 2. Sibutramine (Meridia) has the documented adverse drug effects of: A. Palpitations B. Flatulence C. Drowsiness D. Vitamin malabsorption 3. Monitoring of the patient taking orlistat (Xenical) includes: A. Periodic blood pressure and pulse measurement

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B. Vitamin D levels C. Serum iron and folic acid levels D. Serum calcium levels 4. After gastric bypass surgery, the postoperative nutritional requirements for an adolescent patient include: A. 60 to 70 g of lean protein per day B. Extra fiber to counter constipation associated with the surgery C. Calcium intake of 2000 mg per day

D. Fat-soluble vitamin supplementation 5. In evaluating a bariatric surgery team for referral of an adolescent, the pediatric nurse practitioner should evaluate all of the following EXCEPT: A. Do they have specific guidelines for adolescents? B. Are they affiliated with a pediatric hospital? C. Do they have a multidisciplinary team managing the adolescent patient? D. Must the patient purchase proprietary meals?

Journal of Pediatric Health Care

ANSWER ENROLLMENT FORM Pharmacotherapy and Surgery Treatment for the Severely Obese Adolescent (1.0 contact hours, of which 1.0 is pharmacology content)

Two Ways to Earn Your CE Contact Hours Earn CE Contact Hours Online Contact Hours for this online activity are FREE for NAPNAP Members. Non-Members will be charged a fee of $10 to receive Contact Hours for this online activity through PNPSourCE. Payment can be made by credit card through PNPSourCE. 1. To take the Post Test for this article and earn contact hours, please go to PNPSourCESM at www.napnapce.org. 2. Under Course Categories, JPHC Post Tests, click the name of the CE Article. 3. If you already have an account with PNPSourCESM, log in using your user-name and password. If you are a NAPNAP member, log in with your member ID number and password. If you are a first-time user and NAPNAP non-member, click on ‘‘Create New Account.’’ 4. Once you have successfully passed the Post Test and completed the evaluation form, you will be able to print out your certificate immediately. Earn CE Contact Hours By Mail 1. Mail your completed form with your check for $10.00 (members) or $15.00 (non-members) to NAPNAP, 20 Brace Rd, Suite 200, Cherry Hill, NJ 08034-2634. If you wish, you may photocopy the form rather than tear the page out of the Journal. 2. Answers to the test will be graded and then you will receive a certificate for successful completion within 6 weeks of receipt of answers at NAPNAP. Please print Name ______________________________________________________ Credentials _____________________________________________ Address ___________________________________________________________________________________________________________ City _____________________________________________ State ____________________________ Zip code __________________________ Telephone No. ______________________________________________________________________________________________________ Nursing License No. ____________________________________________________________ State ________________________________ E-mail _____________________________________________________________________________________________________________ Enclosed is a check or money order for ______________________ payable to NAPNAP, 20 Brace Rd, Suite 200, Cherry Hill, NJ 08034-2633. ($10–members; $15–nonmembers) Circle your choice: 1. A

B

C

D

3. A

B

C

D

2. A

B

C

D

4. A

B C

D

5. A

B C

D

Enrollee information Highest Degree: _____ Diploma _____ AD _____ BS _____ Masters _____ Doctorate Certification: _____ None _____ PNP _____ FNP Worksite: _____ Outpatient _____ Inpatient _____ Home Health _____ Academic _____ Clinic _____ Private Office _____ Community Health Program evaluation Using a scale of 1 (most strongly agree) to 5 (most strongly disagree), please evaluate the offering: 1. The objectives of the program were met. _____ 2. The content was appropriate. _____ 3. My expectations have been met. _____ 4. This form of CE is worthwhile. _____ 5. The level of the test was appropriate. _____ 6. The offering met the stated objectives for the following: Objective 1: Identify the FDA-approved pharmacotherapies for severe adolescent obesity. Objective 2: Discuss the primary care co-management of a patient who is being treated for obesity with either sibutramine or orlistat. Objective 3: Describe current recommendations for referring obese adolescents to a bariatric surgery program. Objective 4: Develop a primary care management plan for an adolescent who has had bariatric surgery. 7. How long did this program take to complete? _____ minutes

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