Case+Study+4+test+review

​1. What is the difference between anorexia nervosa, bulimia nervosa and binge eating? Describe the defining characteristics of each disorder. Anorexia nervousa patients have on severe weight loss, whereas Bulimia nervousa pt's usally maintains a normal weight or just below wt. Binge eating symptoms include eating an extra amount of food in a 2 hr period and then feeling guilty, without using purging or other means to lose the weight. jr

2. Identify 3 priority nursing diagnoses for the disorders lised in question # 1 above. Anorexia nervosa- Imbalanced nutrition: less than body requirements, Risk for imbalanced fluid volume, Risk for injury r/t elcetrolyte imbalnced. Bulima nervosa- Decreased cardiac output, Ineffective coping r/t implusive response to problems, Chronic low-self esteem. Bing eating- Imbalanced nutrition: more than body requirements r./t compulsive overeating 3. Identify at least 3 nursing interventions specific to the eating disorders. Safety would be the priority intervention for both eating disorders. Teaching nutrition and diet. Bulmia nervosa- Setting time limits for each meal Stay with the Pt. at while they are eating and after meals

4. Identify assessment findings you would expect to find for patients with the following substance abuse issues:

a. Stimulants- tachycardia, dilated pupils, increased BP, nausea/vomiting, grandiosity, euphoria, energy, paranoid, psychosis,haliucinations, jr b. Nicotine- increased HR, energy, euphoria, jr c. Cocaine- tachycardia, dilated pupils, increaed HR, nasal perforations, respiratory paralysis, hyperplexia, insomnia, jr d. Alcohol- sedated,low BP, slurred speech, incoordination, unsteady gait, jr e. Amphetamines- increased energy, anxiety, paronoia, hallucinations, hyperplexia jr f. Sedative-Hypnotics- sedation, sleepiness. consticted pupils jr g. Cannabis- depressed mood, possible hallucinogenic, decreased motivation! (jr)

5. Write 3 priority nursing diagnoses for each substance listed. Risk for injury is a priority nursing dx for all of these so I will not write it for each one. //a. ////Stimulants //- Decreased cardiac output; risk for suicide; anxiety; //b. ////Nicotine //- Disturbed sleep pattern; anxiety; //c. ////Cocaine //- risk for fluid volume deficit r/t vomiting and diarrhea; imbalanced nutrition; risk for infection. //d. ////Alcohol //- Imbalanced nutrition; risk for ineffective breathing patterns; risk for suicide. //e. ////Amphetamines //- Disturbed sensory perception; ineffective health maintenance; risk for suicide. //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">f. ////<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">Sedative hypnotics //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">- Ineffective breathing pattern; risk for fluid volume deficit r/t vomiting and diarrhea. //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">g. ////<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">Cannabis //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">- anxiety;

6. Identify symptoms of withdrawal for the substances listed in #4. <span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">a. //Stimulants//- Fatigue, depression, agitation, apathy, anxiety, sleepiness, disorientation, lethargy, craving. b //Nicotine-// craving, irritability, headache, insomnia, fatigue, dry mouth. c. //Cocaine//- Depression, paranoia, lethargy, anxiety, insomnia, nausea, vomiting, sweating & chills. d. //Alcohol//- Person may be irritable, have jerky movements, be hyperalert, have subjective stress (shaking inside,) grand mal seizures may occur 7-8 hours after cessation. e. //Amphetamines-// Same as CNS stimulants (Fatigue, depression, agitation, apathy, anxiety, sleepiness, disorientation, lethargy, craving.) //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;"> f. Sedative-Hypnotics //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">- yawning, insomnia, irritability, runny nose, panic, diaphoresis, cramps, nausea & vomiting, muscle aches, chills, fever, lacrimation, diarrhea. //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;"> g. Cannabis- //<span style="color: red; font-family: 'Arial','sans-serif'; font-size: 10pt;">Withdrawal other than craving rarely occurs.

7. Identify priority nursing interventions for patients who use/abuse the substance listed in # 4.

8. Review the material from Case Study #3 (Dementia, etc.)