Chapter 21/24 Flashcards
what is anorexia nervosa?
morbid fear of becoming obese, starving
key medical symptoms in anorexia nervosa?
hypothermia, bradycardia, hypotension, lanugo, metabolic changes
what can happen in anorexia nervosa pt if recovery is not achieved?
cardia arrtyhmia/HF, gastroparesis, gallbladder & liver disease
what is bulimia nervosa
binging and purging
what is binge eating disorder
pattern of binging W/O purging
what are some common things in eating disorders?
all are linked to a symbol of control, depression, anorexia and bulimia SSRIs are helpful
what therapy is used in eating disorders?
cognitive behavioral therapy
what med is used for binge eating disorder?
dopamine-norep reuptake inhibitor, CNS stimulant
what is the onset for delirium
sudden
high risk medical conditions for delirium
systemic infections (think sepsis), high fever, hepatic or renal failure
alzheimer’s is significant decrease in
neuro tissue in their brain
alzheimer’s and lewy body can cause
psychosis
hallucinations are more common in
lewy body
what is the drug that is approved for agitation?
brexpiprazole (rexulti)
other treatment for alzheimer’s and lewy body
risperdal (risperidone) and zyprexa (olanzapine) - these drugs are antipsychotics and put pts at risk for stroke
what is lewy body?
similar to alzheimer’s but progresses more rapidly, visual hallucinations eariler, depression and delusions common
pseudodementia?
oriented x3, better as day progresses, appetite diminished, delirium
treatment for delirium
fluids/electrolytes, O2, antipsychotics, low stimulus level