Clin - Eating Disorders Flashcards
what type of electrolyte disturbances are seen in anorexia patients
dehydration, hypokalemia, hypophosphatemia, hypomagnesemia
what kind of endocrine disturbances are seen in anorexic patients
osteoporosis, hypothermia, euthyroid, and hypoglycemia
what kind of GI symptoms are seen in anorexic patients
gastroparesis and constipation
what is a serious complication of treatment in anorexic patients?
re-feeding syndrome
rehydrating or feeding patients beyond their current capacity
what is the first line therapy for anorexia nervosa patients
psychotherapy
- CBT
- specialist supportive clinical management
- motivational interviewing
- family therapy
when should you consider using pharmacotherapy for anorexic patients
only for patients who have been resistant to other therapies and who are willing to take medications
what medication should you avoid in anorexic patients
bupropion (increased seizure risk)
tricyclic antidepressants (cardiotoxicity)
antipsychotics and antidepressants w/ risk of QT prolongation
diagnostic criteria for bulimia nervosa
- recurrent episodes of binge eating
- recurrent inappropriate compensatory behavior to prevent weight gain
- events at least 2x/week for three months
what cardiac dysfunctions occur with bulimia nervosa
hypotension, orthostasis, sinus tach, ECG changes, arrhythmias
what GI dysfunction occur with BN
mallory weiss syndrome, esophageal rupture, parotid and submandibular gland hypertrophy
what comorbidities occur with BN
anxiety, mood, and substance use disorders
OCPD, avoidant PD, histrionic PD, paranoid, borderline PD
impulsivity, perfectionism, compulsivity, narcissism
best standard treatment for BN
combination of nutritional rehab, CBT psychotherapy, and pharmacotherapy
first line pharmacotherapy for BN
fluoxetine (prozac)
