anorexia nervosa

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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11. 

  1. Jane has been diagnosed with anorexia nervosa, and has been eating 400 calories per day for the past 6 months. She has lost a severe amount of weight and is malnourished, such that her doctor recommends inpatient treatment. Jane’s family is resistant and believes they can just force her to eat 1800 calories per day when they return home. Based on what you learned in class, how should the doctor explain the importance of getting help to reinstitute proper food intake?
  1. Suddenly beginning to feed Jane a normal amount of food can result in refeeding syndrome, which is a metabolic disturbance that results from reinstituting nutrition to severely malnourished patients. This syndrome causes electrolytes and fluid abnormalities and may lead to cardiac arrest.
  2. Suddenly beginning to feed Jane a normal amount of food can result in refeeding syndrome, which is characterized by changes in heart rate when patients oscillate between lying down and standing up. If Jane were to stand up too quickly, she would die.
  3. Suddenly beginning to feed Jane a normal amount of food can result in refeeding syndrome. When food is reintroduced to the body’s system after a period of starvation too quickly, this can cause an imbalance in metabolism, which makes it nearly impossible to gain weight.
  4. Suddenly beginning to feed Jane a normal amount of food can result in refeeding syndrome, which is a metabolic disturbance that results from reinstituting nutrition to severely malnourished patients. This syndrome causes severe constipation and weakening of the gastrointestinal system, leading to cancer.



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