Anorexia Nervosa, or simply Anorexia, is an eating disorder distinguished by unusually low body weight, along with extreme fear and anxiety about gaining weight and a distorted observation of their own weight. These individuals go so far as restricting how much food they consume, monitoring calorie intake and even using enemas, diuretics, laxatives or other dietary weight loss aids. It is important to know that this condition even though this condition appears to be about food, it is more about unhealthy ways of coping with emotional stress.
Causes
This condition, like many others is caused by combination of environmental, biological and psychological factors.
• Biological – some genetic factors cause people to be more vulnerable to …show more content…
• SSRI’s – Celexa (Citalopram), Lexapro (Escitalopram), Prozac (Fluoxetine), Paxil (Paroxetine) and Zoloft (Sertraline) and Luvox (Fluvoxamine).
• SNRI’s – Effexor (Venlafaxine), Cymbalta (Duloxetine), Dalcipran (Ilnacipran) and Pristiq (Desvenlafaxine).
• Benzodiazepines – Valium (Diazepam), Xanax (Alprazolam)
• Phenothiazines – Thorazine (Chlopromazine)
• Electrolyte supplements – Calcium Carbonate (TUMS), Potassium Cl, Calcium Gluconate and Potassium phosphate.
Treatment Goals The initial goal of treatment is to reestablish a healthy weight and learning proper nutrition, while also treating any psychiatric issues.
Nursing Interventions
1. Monitor VS, electrolytes and other lab values. Rationale: client’s overall health is important, rule out any other underlying conditions.
2. Monitor I & O; weigh daily at the same time. Rationale: ensure that the client is indeed eating, while removing emotional issues the client relates to food/eating and also to measure the current plan as being …show more content…
Provide a structure for the client’s mealtime, state limits and do not give the client choices. Rationale: defined limits let the client know what is to be expected.
4. Administer Thorazine (Chlorpromazine) as ordered by the doctor.
• Assess mental status before and during therapy.
• Assess weight and BMI initially and throughout therapy.
• Assess positive and negative symptoms of schizophrenia.
• Monitor BP, pulse and respiratory rate.
• Observe carefully to make sure the medication is being taken.
• Assess fluid intake and bowel function.
• Monitor for tardive dyskinesia.
• Monitor for development of neuroleptic malignant syndrome.
5. Encourage the client to discuss feelings of anxiety or other emotions after eating. Rationale: puts the focus on emotional issues and not the act of eating in itself.
6. Provide good skin care over bony prominences. Rationale: these clients are more at risk for skin breakdown due to lack of nutrition.
7. Provide the client with warm bedding and warmer room temperatures. Rationale: client is prone to being cold from lowered amounts of subcut tissue and decreased fat.
8. Give positive feedback for appropriate behaviors. Rationale: will reinforce desired
Causes
This condition, like many others is caused by combination of environmental, biological and psychological factors.
• Biological – some genetic factors cause people to be more vulnerable to …show more content…
• SSRI’s – Celexa (Citalopram), Lexapro (Escitalopram), Prozac (Fluoxetine), Paxil (Paroxetine) and Zoloft (Sertraline) and Luvox (Fluvoxamine).
• SNRI’s – Effexor (Venlafaxine), Cymbalta (Duloxetine), Dalcipran (Ilnacipran) and Pristiq (Desvenlafaxine).
• Benzodiazepines – Valium (Diazepam), Xanax (Alprazolam)
• Phenothiazines – Thorazine (Chlopromazine)
• Electrolyte supplements – Calcium Carbonate (TUMS), Potassium Cl, Calcium Gluconate and Potassium phosphate.
Treatment Goals The initial goal of treatment is to reestablish a healthy weight and learning proper nutrition, while also treating any psychiatric issues.
Nursing Interventions
1. Monitor VS, electrolytes and other lab values. Rationale: client’s overall health is important, rule out any other underlying conditions.
2. Monitor I & O; weigh daily at the same time. Rationale: ensure that the client is indeed eating, while removing emotional issues the client relates to food/eating and also to measure the current plan as being …show more content…
Provide a structure for the client’s mealtime, state limits and do not give the client choices. Rationale: defined limits let the client know what is to be expected.
4. Administer Thorazine (Chlorpromazine) as ordered by the doctor.
• Assess mental status before and during therapy.
• Assess weight and BMI initially and throughout therapy.
• Assess positive and negative symptoms of schizophrenia.
• Monitor BP, pulse and respiratory rate.
• Observe carefully to make sure the medication is being taken.
• Assess fluid intake and bowel function.
• Monitor for tardive dyskinesia.
• Monitor for development of neuroleptic malignant syndrome.
5. Encourage the client to discuss feelings of anxiety or other emotions after eating. Rationale: puts the focus on emotional issues and not the act of eating in itself.
6. Provide good skin care over bony prominences. Rationale: these clients are more at risk for skin breakdown due to lack of nutrition.
7. Provide the client with warm bedding and warmer room temperatures. Rationale: client is prone to being cold from lowered amounts of subcut tissue and decreased fat.
8. Give positive feedback for appropriate behaviors. Rationale: will reinforce desired