Laxative abuse electrolytes normal values

images laxative abuse electrolytes normal values

Education and further treatment may be required to maintain a healthy bowel programme. Read the Issue. Mar 15, Issue. The third group includes individuals engaged in certain types of athletic training, including sports with set weight limits. N Engl J Med ; Are you sure? Earn up to 6 CME credits per issue. Email Alerts Don't miss a single issue. Patients with severe hypokalemia and metabolic alkalosis need volume repletion with intravenous normal saline to turn off the renin-angiotensin-aldosterone system and allow normalization of potassium levels.

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  • Laxative abuse epidemiology, diagnosis and management.

  • The prevalence of laxative abuse has been reported to range from approximately Normal bowel function consists of the absorption of nutrients, Medical problems associated with laxative abuse include electrolyte and. Instead, laxative abuse causes the loss of water, minerals, electrolytes, and indigestible fiber and wastes from the colon.

    This “water weight” returns as soon as. Measure. Description. Reference. Range**. Abnormal High.

    Video: Laxative abuse electrolytes normal values EASY WAY TO REMEMBER NCLEX LAB VALUES

    Abnormal Low. Notes. Complete electrolyte and acid/base.

    laxative abuse. Abnormal levels.
    Reprinted with permission from Mehler PS. N Engl J Med ; August 28, ;— There are several types of laxatives available, including stimulant agents, saline and osmotic products, bulking agents and surfactants. Treatment begins with a high level of suspicion, particularly when a patient presents with alternating diarrhoea and constipation as well as other gastrointestinal complaints.

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    N Engl J Med ; Repeatedly induced vomiting can lead to the loss of dental enamel, increased dental caries, swollen salivary glands, Mallory-Weiss esophageal tears, and gastroesophageal reflux.

    Disturbances in serotonergic systems have been postulated as contributing to bulimia.

    images laxative abuse electrolytes normal values

    Reprinted with permission from Mehler PS. Laxative abusers can develop severe constipation on withdrawal of laxatives, related to damage to the myenteric plexus.

    images laxative abuse electrolytes normal values

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    Although most bulimics purge by vomiting, abuse of laxatives or diuretics also occurs. Electrolyte Levels Usually Associated with Purging. FLUID AND ELECTROLYTE CONTENT OF NORMAL STOOL ○Normal stool has an alkaline pH.

    The sodium plus potassium concentration in stool usually ranges between and Laxative abuse syndrome. abuse have the capacity to induce fluid and electrolyte disturbances in a creased bicarbonate levels may be indicative of laxative-induced metabolic acidosis.
    Already a member or subscriber? Persons with anorexia nervosa eventually become visibly recognizable because of their severely underweight status.

    A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Bulimia nervosa. Purchase Access: See My Options close. Food and Drug Administration for treatment of bulimia.

    Laxative abuse epidemiology, diagnosis and management.

    The second group consists of individuals who are generally middle aged or older who begin using laxatives when constipated but continue to overuse them.

    images laxative abuse electrolytes normal values
    Laxative abuse electrolytes normal values
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    Persons with anorexia nervosa eventually become visibly recognizable because of their severely underweight status. Patients with severe hypokalemia and metabolic alkalosis need volume repletion with intravenous normal saline to turn off the renin-angiotensin-aldosterone system and allow normalization of potassium levels.

    In contrast, those affected by bulimia are typically of normal weight and are not as easily detected. Different purging methods result in different constellations of serum and urine electrolyte disturbances see accompanying table.

    August 28, ;—

    5 Reply to “Laxative abuse electrolytes normal values”

    1. Choose a single article, issue, or full-access subscription. Cognitive-behavioral therapy has demonstrated efficacy in the treatment of bulimia, but more than 60 percent of patients in one follow-up survey cited by the author still had residual eating disorder features six years after treatment.

    2. Laxatives have been used for health purposes for over years, and for much of that time abuse or misuse of laxatives has occurred. Bulimia is most common in late adolescent females.

    3. Although most bulimics purge by vomiting, abuse of laxatives or diuretics also occurs. Higher dosages of fluoxetine, up to 60 mg daily, may be necessary for effective control.

    4. The number of times a bulimic patient purges can vary widely, from as seldom as once or twice weekly to as often as 10 times per day. The selective serotonin reuptake inhibitor fluoxetine is the only medication that has been approved by the U.