Describe the nutritional approach you would use to counsel SP now ...

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Describe the nutritional approach you would use to counsel SP now that she is bulimic. Would your nutritional goals change? Explain.

Question 2

If SP took ipecac syrup, laxatives, and diuretics on a daily basis, predict the probable complications. What lab values would most likely be affected? Be specific and explain.

[tandmlomax84]

Answer to Question 1

Anorexics frequently become bulimics after overcoming their starvation dieting. In this case SP has overcome her starvation tactics but goes on a guilt trip after overeating. Bulimics are still very concerned with body shape and weight as mentioned earlier. SP still needs to be encouraged to try to eat a balanced diet without being concerned about weight. Frequently, bulimics overeat when they are depressed or bored. SP still needs to be encouraged to eat with a friend or family member who will encourage her. She should still be receiving professional help from a psychologist.

Answer to Question 2

Electrolytes could be greatly affected: Na, K, and Cl d/t vomiting, diarrhea, and urinary losses; dehydration for the same reasons; loss of gastric digestive potential 2o to vomiting; imbalance of pH 2o to vomiting and electrolyte losses; erosion of teeth 2o to vomiting; arrhythmias, heart attack 2o to electrolyte imbalance; malabsorption 2o to loss of gastric secretions and diarrhea. Lab values that would probably be affected quickly are Na, K, and Cl.