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BULIMIA - Coggle Diagram
BULIMIA
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medication
antidepressants, like fluoxetine (Prozac), which is the only antidepressant approved by the U.S. Food and Drug Administration (FDA) to treat bulimia
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• Lisdexamfetamine dimesylate (Vyvanse) a central nervous stimulant used to treat attention deficit/hyperactivity disorder is approved to treat binge eating disorder in adult
Nursing intervention
. Create an atmosphere of trust. Accept person as worthwhile individual. If they know that no rejection or punishment is forthcoming they disclose their problem, they will be more open and honest
Develop strength to cope with problems. Encourage patient to discuss positive qualities about themselves to increase self-esteem.
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Make a contract with the patient to approach the nurse when they feel the urge to binge so that feelings and alternative ways of coping can be explored.
Encourage adhering to meal and snack schedule of hospital. This decreases the incidence of binging, which is often precipitated by starvation and fasting.
Encourage participating in group activities with other persons having the same eating disorder to gain additional support.
For young adolescent living at home, encourage family therapy to correct dysfunctional family patterns.
Cognitive behavioral therapy is the ideal therapy to help the bulimic understand the problem and explore appropriate behaviors.
Behavioral intervention
• Cognitive behavioral therapy (CBT) this therapy goals are to address the distorted views and attitudes about weight, shape and appearance and practice behavioral modification.
• Dialectical behavior therapy (DBT) This therapy helps the individual not just develops new skills to handle negative triggers, but also helps the person develops insight to recognize triggers or situations where a non-useful behavior might occur. Specific skills include building mindfulness, improving relationships through interpersonal effectiveness, managing emotions and tolerating stress
• Counseling. The nurse should establish therapeutic alliance with the patient. Therapeutic alliance allows the nurse along with other members of the team to provide counseling that gives useful feed back regarding the patient distorted belief.
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important assessment
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NA, K, Cl, CO2, BUN, creatinine, glucose
Liver function tests (ALT, AST, GGTP)
Serum calcium, magnesium, phosphorous
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