Eating disorder Flashcards
What things in a patient’s history would inform a patient’s risk in anorexia?
Frequency of laxative use
Frequency of vomiting
Rapidity of weight loss
Fluid/food intake
What things in a patient’s examination would inform a patient’s risk in anorexia?
Low BMI Stand up and squat test Bradycardia Hypotension Poor hydration
What is the risk of overfeeding a patient with an eating disorder too quickly?
Refeeding syndrome
What biochemical abnormalities are present in refeeding syndrome?
Hypomagnesaemia
Hypokalaemia
Hypophosphataemia
Patient is hypokalaemic and hypophosphataemic from refeeding syndrome. What infusion fluid is best to use?
Polyfuser infusion (contains phosphate and potassium)
What is the difference between anorexia nervosa and bulimina nervosa?
In Anorexia, BMI <17.5 but in bulimia >17.4