eating d/o
Terms
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- the perosn regularly engages in self induces vomiting or misuse of laxatives diuretics or enemas?
- Purging
- recurrent binge eating f/b purging?
- Bulimia nervosa
- during current episode person uses other inappropriate dbehaviors such as fasting or excessive exercise?
- Non purging
- How is bulimia nervosa dx?
-
minimum of 2 binge eating episodes/week for 3 months
(eating in discrete period of time and amt of food larger than most people would consider eating) - Apperance of person with bulimia nervosa?
-
Usually of normal weight
(fluctuates 10 lbs) - bulimia nervosa is often associated with?
- substance dependency/abuse
- How does the person with bulimia nervosa react?
-
feels in control then loss of control
need to fit in/look good
perfectionist
embraces trad.femininity
often hx childhood sex/abuse - Describe the process of bulimia nervosa?
-
1.hoarse
2.esophagitis
3.dental enamel erosion
4.normal wt
5.enlarged parotid glands
6.calluses/knuckles
7.amenorrhea(40%)
8.F/E imbalances
8.increased temp
9.poor skin turgor
10.dark urine
11.low bp and weakness - Plan and intervention for client with bulimia nervosa?
-
adequate I/O
achieve target weights
contracts/agreemnts:helpful
avoid discussion of wt
do not have pt wt themslvs
Monitor for 2hrs post eating
staff eats with patients - Client with BN what med should be used with caution and why? what med should not be used?
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TCAs: due to cardiac effects
do not use bupropion(wellbutrin) - Nurse may experience "rescue"feelings towards client with BN, why should she be aware of these feelings?
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Nurse may label clients problem as poor eating/places client on diet plan but not realize client has a serious condition.
-never cover over problem