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