iHuman patient Jamie Johanson
Prework
A 19 year-old female who is admitted to behavioral health for the intervention of her anorexia nervosa
following failure in outpatient management.
1. What are your primary concerns for this patient and what assessments and interventions would
be associated with your concerns? Why?
One of my concerns would be to assess this patient pattern of weight loss and see whether it happened
within only a few months. Labs would be ordered to determine the levels of electrolyte (basic metabolic
panel) as well as levels of hemoglobin and hematocrit (CBC). Assessment would be focus on physical
aspect by determining blood pressure, pulse and respiration rates, because these rates slow. Thyroid
activity also decreases so thyroid function tests should be check as well. skin turgor, capillary refill
checks are important to determine proper perfusion and oxygenation (Nies & McEwen, 2018).
Complications, focus assessment, make sure she doesn’t have any dehydration, electrolyte imbalance.
Get social history, psychological history.
Intervention: reestablish nutrition, assess mental health to see if she is depressed, provide some types
of medications.
2. What do you anticipate the patient’s home medications prior to admission might be? Why?
Fluoxetine (Prozac) because some trials have shown some evidence of weight gain.
Multivitamin, antidepressant (she might need mood stabilizer)
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in
evidence-based practice (9th ed.). F.A. Davis.
3. What medications do you anticipate the healthcare provider would prescribe while the patient is
in the hospital? Why?
0.9 normal saline for fluid replacement. Anxiolytic medication before meals to reduce anxiety.
Olanzapine to stimulate appetite and weight gain.
Prework
A 19 year-old female who is admitted to behavioral health for the intervention of her anorexia nervosa
following failure in outpatient management.
1. What are your primary concerns for this patient and what assessments and interventions would
be associated with your concerns? Why?
One of my concerns would be to assess this patient pattern of weight loss and see whether it happened
within only a few months. Labs would be ordered to determine the levels of electrolyte (basic metabolic
panel) as well as levels of hemoglobin and hematocrit (CBC). Assessment would be focus on physical
aspect by determining blood pressure, pulse and respiration rates, because these rates slow. Thyroid
activity also decreases so thyroid function tests should be check as well. skin turgor, capillary refill
checks are important to determine proper perfusion and oxygenation (Nies & McEwen, 2018).
Complications, focus assessment, make sure she doesn’t have any dehydration, electrolyte imbalance.
Get social history, psychological history.
Intervention: reestablish nutrition, assess mental health to see if she is depressed, provide some types
of medications.
2. What do you anticipate the patient’s home medications prior to admission might be? Why?
Fluoxetine (Prozac) because some trials have shown some evidence of weight gain.
Multivitamin, antidepressant (she might need mood stabilizer)
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in
evidence-based practice (9th ed.). F.A. Davis.
3. What medications do you anticipate the healthcare provider would prescribe while the patient is
in the hospital? Why?
0.9 normal saline for fluid replacement. Anxiolytic medication before meals to reduce anxiety.
Olanzapine to stimulate appetite and weight gain.
