NUR 162 Final 1
- What is anorexia nervosa?
Answer individual have a significantly low body wt, fear or gaining wt, or being obese. inability to recognize severely low body wt
- what are two types of anorexia nervosa
- Restrictive
- Binge eating/purging
- explain restrictive anorexia nervosa?
Answer restrictive dieting, excessive exercise, using laxatives/diuretics to reduce calories
- explain binge/purge anorexia nervosa
Answer binge eat then use diuretics/laxatives or vomit to expel the food
- what age group is mostly affected by anorexia? why?
Answer adolescents (onset age 14-16yrs); stressors associated w/ body development
peer pressure, body image, social media
- what are the BMI percentages for children and adolescents for anorexia ? what would make
you change the levels of severity?
Answer mild 1 / 3
>/= 17
moderate
16-16.99
severe
15-15.99
extreme <15
*** changes in levels of severity can increase to reflect clinical symptoms such as functional disability/ need for supervision (going to the bathroom if purging; watching eat meals; monitoring amount of excerise)
- What is bulimia?
- episodes of binge eating followed by purging (vomiting, laxatives, purgatives or diuretic
Answer
abuse) to maintain a specific wt
- why is bulimia difficult to diagnosis?
Answer pt will usually maintain a normal wt; can go yrs without displaying symptoms, pt will keep issue a secrete and try to self tx
- what should be implemented in the care for pts w/ eating disorders
Answer -
-***refeeding
(most IMPORTANT INTERVENTION)
food is being introduced slowly starting w/ a low amount of cal that gradually increase up to 3500 qd-wt check at same time qd/qwk 2 / 3
-BMI monitoring (17 or less) *** to be discharged BMI should be 19-25*** discharged when reached at least 85% of goal wt -social support/family therapy recommended
- what are changes in menses for females w/ eating disorders
Answer -sign of estrogen depletion
-maybe irregular (if it was regular before disorder) **see if pt is taking anything that would cause irreg menses such as BC*** menses will return reg after fat restoration
- what is the first choice medication for tx of eating disorders? name the generic/brand
name, drug class, intended tx, se/contraindications, and pt education ?
Answer fluoxetine (prozax)
ssri
relieve symptoms of depression, promotes wt restoration may cause drowsiness/ feeling weak can take up to 4-6 wks to work
- what are 3 ways that abuse of RX/OTC medications occur
Answer -taking meds that have been prescribed for someone else
-taking higher quantity than prescribed
-taking for purposes other than prescribed
- what is the most life threatening symptom of alcohol withdrawal
Answer seizures
- what symptoms are associated w/ alcohol withdrawal syndrome? what are the most severe
- / 3
symptoms