Chapter 18: Eating and Feeding Disorders Flashcards by Lani Manners

are these patients inpatient

yes but normally not for these diagnoses alone

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3 main eating diagnoses

anorexia nervosa
bulimia nervosa
binge eating disorder

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anorexia nervosa
- intense fear of

gaining weight

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anorexia nervosa
- weight

underweight

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anorexia nervosa
- experience significant differences in

sensation of taste
appetite
satiety

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anorexia nervosa
- maladaptive behaviors

restriction and purging

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purging

this is a type of compensatory behavior
ex: self induced vomiting, excessive exercise, laxative use, enemas, diutretics, stimulants, thyroid medications

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anorexia nervosa
- two types

restricting
binge eating/purging

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anorexia nervosa
- restricting type

NOT engaged in recurrent episode of binge eating or purging behavior

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anorexia nervosa
- binge eating/purging

engaged in recurrent episodes or binge eating or purging behavior

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anorexia nervosa
- begins when

adolescence or young adult

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anorexia nervosa
- cognitive factors

learned behavior with positive reinforcement, defense against ineffectiveness and powerlessness
ex: comments about weight loss, surrounded weight loss from mother or father

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anorexia nervosa
- amenorrhea

loss of mental cycle

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anorexia nervosa
- body dismorphia?

yes

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anorexia nervosa
- lab testing

Na, pre albumin, albumin, iron,

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anorexia nervosa
- lack of albumin causes what

edema

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anorexia nervosa
- hypercarotenemia

increase carotene in blood (high vit c)
body not flushing vitamins so it builds up in tissues

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anorexia nervosa
- lanugo

fine body hair

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anorexia nervosa
- nursing diagnoses

more based on medically stable
ex: imblanaced nutrition, decreased cardiac output, electrolyte/fluid imbalance

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anorexia nervosa
- referring syndrome

lethal complications may result in
fluid balance abnormalities
abnormal glucose metabolism
hypophosphatemia
hypomagnesium
hypokalemia
thiamine deficiency

body cannot handle workload of increase food

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anorexia nervosa
- avoid referring syndrome

reintroduction of nutrients slowly to avoid this

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anorexia nervosa
- commonn traits

perfectionism
obsessive thoughts

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treatment for this is very or not very specialized

yes it is very

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anorexia nervosa
- therapy

integrative medicine (yoga, massage, acupuncture)
insight oriented individual therapy
adolescent focused therapy
family therapy
cognitive behavioral therapy

anorexia nervosa - pharm

co occurring disorders - SSRI - antianxitey - second gen - mood stabilizers

anorexia vs anorexia nervosa

anorexia is loos of appetite nervosa is the eating disorder

bulimia nervosa - weight

near normal body weight

bulimia nervosa - definition

recurrent episodes of binge eating recurrent inappropriate compensatory behavior

bulimia nervosa - age

later adolescence to adulthood

bulimia nervosa - environmental factors

internalization of a thin body ideal bullying

bulimia nervosa - mood when eating when stopped

increased mood when eating decreased mood when stopped

bulimia nervosa - generally does what when binge is over

vomit and sleep

binge eating

large volume eating outside for comfort

bulimia nervosa - lab

glucose K NA Mag EKG dehydration laxative use albumin/pre

bulimia nervosa - physical signs

enlarged parotid glands dental erosin/caries doesn't look ill callouses on hands

bulimia nervosa - why do we ask how to induce vomiting

so we know triggers

bulimia nervosa - interventions

interrupt destructive cycles

bulimia nervosa - pharm

antidepressants - fluoxetine

bulimia nervosa - therapy

CBT DBT interpersonal therapy acceptance and commitment therapy

bulimia nervosa - first line therapy

CBT

binge eating - defintion

eating in discrete period of time an amount of food that is definitely larger than what most people eat

binge eating - control

sense of lack control over eating during the episode

binge eating - distress

marked distress over binge eating

binge eating - periodically or once time

periodically

binge eating - why is prevalence higher

harder to hide people seek change

binge eating - symptoms

GI symptoms obesity heartburn dysphagia bloating abdominal pain diarrhea constipation

binge eating - impaired nutritional intake...

more than body requirements

binge eating - this is not about food this is about

coping with emotion

binge eating - therapy

CBT/DBT interpersonal therapy

binge eating - pharm

SSRI SNRI (duloxetine, venlafaxine) TCA anti epileptics appetite suppressants lisdexamfetamine (Vyvanse)

binge eating - surgery

bariatric surgery

binge eating - weight

obese

feeding disorders

pica rumination avoidant/restrictive food intake

pica

eating nonfood items past toddlerhood

pica can be in pregnancy due to

lack or iron

rumination

regurgitation with reviewing, reswallowing, or spitting

rumination common in

dementia

avoidant.restrictive food intake

starts in childhood Low BMI no distorted body image personal or family anxiety