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