CHAPTER 12 Mental Health^467
- Monitor cardiac rhythm for rate and presence of arrhythmia.
- Calorie replacement; monitor for problems with initial refeeding.
- Monitor vital signs.
- Monitor weight.
- Monitor fluid and calorie intake.
NURSING DIAGNOSIS
- Disturbed body image
- Imbalanced nutrition: less than what body requires
- Altered dentition
NURSING INTERVENTION
- Monitor vital signs.
- Monitor calorie intake.
- Monitor cardiac rate and rhythm.
- Monitor lab results; report abnormalities.
Bulimia Nervosa
The ideal body type depicted in the media has affected the perception of body
image of many adolescents and young adults. Some of them may have an associ-
ated biologic vulnerability that makes this societal pressure more pronounced.
Peer issues or family problems may compound this, setting the stage for develop-
ment of symptoms.
WHAT WENT WRONG?
Patients have recurrent episodes in which they eat a much larger quantity of food
than would be expected within a given time frame; this is accompanied by a lack
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