Signs
These are some of the many signs that may indicate whether someone has bulimia nervosa:
- fixation on number of calories consumed
- fixation on and extreme consciousness of weight
- low self-esteem
- low blood pressure
- irregular menstrual cycle
- constant trips to the bathroom
- depression
- frequent occurrences involving consumption of abnormally large portions of food
Nursing Diagnosis and Interventions :
Fluid volume deficit related to excess output
Goal: Lack of body fluid volume can be met.
Expected outcomes:
- Vital signs within normal limits
- Intake and output balance.
- Abdomen not sunken.
- Mucous membranes moist.
- Skin turgor back within 3 seconds.
- No vomiting.
- Laboratory results: Na: 135 -145 mEq / L, Ca: 4-5 mEq / L, K: 3.5 - 5.3 mEq / L
Interventions :
- Assess vital signs: pulse, status mucous membranes, skin turgor.
- Assess the amount of fluid intake (intake and output).
- Identify a plan to improve / maintain fluid balance.
- Observation excessively dry skin and mucous membranes, decreased skin tugor.
- Give fluids according to indications.
- Auscultation bowel sounds.
- Assess the laboratory examination of the electrolyte.
- Measure body weight per day.
- Assess the patient's history or the nearest person, in respect of the duration of vomiting.
- Assess the temperature, skin color, skin moisture.
- Collaboration intravenous fluids.
- Apply boundaries with clients about eating habits.
- Encourage clients to eat with other clients or their families, if tolerated.
Rational :
- Circulation volume adequacy indicator.
- To enter the calories that affect electrolyte balance.
- Involving patients in a plan to correct the imbalance.
- Shows the fluid loss.
- Pay attention to circulating volume and electrolyte balance.
- Prevent infection of the digestive tract.
- Provide information about the circulation volume, electrolyte balance.
- Measuring the adequacy of fluid replacement.
- Assist in estimating the total volume shortfall.
- Indicate dehydration.
- To avoid dehydration of the body.
- Preventing overeating behavior that includes eating secretly and swallow food, helps clients quickly and return to normal diet (three times daily).
- Prevent secrecy about eating, though at first anxiety, the client may be too high to join the meal together.