A 17-year-old, Sabrina, is concerned with her weight gain of 10 ...

[itsmyluck]

A 17-year-old, Sabrina, is concerned with her weight gain of 10 pounds over a 2-month period. Her parents are both extremely overweight. She has asked the nurse if she should expect to inherit obesity.
 
  Describe the risk factors associated with childhood obesity.

Question 2

Susan, age 42, has been burned over 30 of her body, including face, neck, arms, and chest, from a chemical explosion at work.
 
  Susan is becoming dehydrated. Her B/P is 90/46, pulse 112, and respirations 32. Her urinary output for the past 24 hours is 100 mL. She is in burn shock. Describe the pathology that has resulted in these symptoms.

[AmberC1996]

Answer to Question 1

Currently, one in three children in America is overweight or obese. Overweight adolescents have a 70 chance of becoming overweight adults. This increases to 80 if one or more parent is overweight or obese. African American and Hispanic children have a higher rate of obesity. Nine out of ten states with the highest obesity are in the South, which also correlates to poverty rates. Sedentary lifestyle and unhealthy eating habits are risk factors for children developing obesity. Skipping breakfast, low fruit and vegetable intake, sweetened beverage intake, excessive TV/media time, low physical activity, not eating together as a family, parental restriction of palatable foods, and parental criticism of weight all put children more at risk.

Answer to Question 2

The loss of the skin surface leads to enormous losses of body fluids, electrolytes, and proteins. A protective mechanism in the body shifts the water from other tissues to the site of the burn, to compensate for the fluid loss. Unfortunately, this further reduces the blood volume and cellular fluids, which in turn lowers blood pressure and other vital signs and decreases urinary output. Additionally, the heart can no longer supply enough blood to perfuse the vital organs, thus the decreased urine output.

[itsmyluck]

Excellent

[Viet Thy]

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