BULIMIA NERVOSA Flashcards
(9 cards)
A psychiatric eating disorder characlenized by:
·Recurrent episodes of binge eating,where the person
consumes an unusually large amount of food in a short
period.
·Compensatory bchaviors to prevent welght gain,such as self-induced vomiting,laxative or diuretic misuse,excessive exeroise,or fasting.
·A distorted body image and overvaluation of body
weight and shape in self-esteem.
Note:People with this condition often maintain a normal weight or may even be overweight,making it more dificult to identify than anorexia.
BULIMIA NERVOSA
What are the risk factors of bulimia nervosa?
·Family history of eating disorder
·Neurochemical imbalances
·Earty puberty
·Poor self-esteem
·Impulsivity
·Depresslon or anxlety
·History of trauma or abuse
·Body dissatisfaction
·Cultural emphasis on thinness
·Peer pressure
·Appearance-focused activities
·Bullying
Signs and symtomps of bulimia nervosa
●Socretive binge eating
●Ritualistie eating habit
●Frequent visit to the bathroom after meals
●Excessive exercise routine
●Use of laxatives, diuretics or enomas
●Normal or slightly above average weight
●Swollen parotid glands
●Dental erosion and caries from stomach acid
●Calluses on knuckles (Russell’s Sign)
●Sore throat
●Dehydration
·Electrolyte imbalance
·lrregular menstrual cycle
·Shame guit
·Anxiety and depression
.Distorted body image
· Mood swings
·Obsessive concems with body weight
Nursing interventions for bulimia nervosa
·Use non-judgmental,empatteic approach
·EstsSlish trust and encourage communication
·Supervise meal and monitor for purging signs
·Encourage regular,balanced eating schedule
·Support nutntional rehabiitations
·Encourage food and mood jpumalng
·ldenttly emotonal thiggers for binge-purge cycles
·Implement behaviral moddication techniques (reinfcrcement of
healthy behaviors)
·Group therapy sessions
·Encourage development of healthy coping skils
·Involve family members to care
·Monitor of weight,vtal signs and lab results
·Assess for signs of dehydration,cardiac irregularties and sell-harm
ideation
NURSING PRIORITIES FOR BULIMIA NERVOSA?
·Monitor and correct electrolyte imhalencos,especially potassium
·Prevent ar treat cardiac atrythmias
·Address signs of dchydration and Gl damage
·Monitor for suicidal ideation or self harm benaviors
·Manage depression or anxiety
·Promote structured meals and consrstent routine
·Prevent purging behaviors mmediately post-meal
·Educate about the disorder and recovery process
·Empower pabent to identity and manage triggers
·Collaborate on relapse prevention strategies
Medical management of bulimia nervosa?
·Cases can be managed through OPD,
unless considered as psychiatric emergency
·Cognitive Behavioral Therapy-helps the
patient recognize and changed disordered
thoughts or behaviors
·Interpersonal Therapy:resolving
relationship issue contibuting lo disordered
eating
·Dialectal Behavior Therapy-useful when
impulslvity or emotional dysregulation is
present
Hospitalization criteria for bulimia nervosa?
·Severe electrolyte imbalance
·Risk for suicide or self-harm
·Severe depression
·Failure of out-patient treatment
·Senous medical complications (gastric rupture)
Pharmacologic management of bulimia nervosa?
Fluoxetine (Prozac)-First-line SSRl approved by FDA for bulimia
Sertraline,Citalopram(SSRIs)-Depression and anxiety symptoms
Topiramate-Reduces binge frequency and weight
Ondansetron-May reduce purging urge
Antacids or prolon pump inhibitors-Manage esophagitis or Gl distress
Potassium supplements-Correct hypokalemla
