7 - Eating Disorders Flashcards
Need to assess for _____
malnutrition
Rate of weight gain for in hospital patients
0.9-1.4 kg/week
Rate of weight gain for outpatients
0.2-0.5 kg/week
Pharmacologic choices for anorexia:
Why do we use prokinetic agents?
food restriction and weight loss can lead to gastroparesis (stomach cannot empty itself normally)
Pharmacologic choices for anorexia:
List some prokinetic agents used
- domperidone
- metoclopramide
Pharmacologic choices for anorexia:
Compare domperidone and metoclopramide
Domperidone is preferred (less EPS than metoclopramide) but metoclopramide has antinauseant effect
Pharmacologic choices for anorexia:
If both domperidone and metoclopramide are ineffective, add ______
erythromycin
Pharmacologic choices for anorexia:
Prokinetics can cause ?
QT prolongation
Pharmacologic choices for anorexia:
Constipation is a problem with weight loss - can use ______ to treat constipation in those with anorexia
prucalopride
*does not cause CV probs or prolong QT interval
Pharmacologic choices for anorexia:
Why is zinc gluconate used?
- can increase rate of weight gain
- irrespective of serum zinc measurement
- take with food to decrease nausea
Pharmacologic choices for anorexia:
Why is olanzapine used?
- may decrease delusional thinking and anorexic rumination
- may not cause rapid weight gain that it does for ppl of normal weight
Pharmacologic choices for anorexia:
For olanzapine, treat until BMI of ____ kg/m^2 (if continued beyond this, may cause rapid increase in appetite and weight gain)
17
Pharmacologic choices for anorexia:
______ can also be used for weight gain
cypropheptadine
Pharmacologic choices for anorexia:
Need to give _____ x 5 days at beginning of feeding to prevent Wernicke-Korsakoff syndrome (encephalopathy) leading to brain disease, damage or malfunction
thiamine
Need to monitor for ______
hypoglycemia
