Eating Disorders Flashcards
What are the 4 major Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
Avoidant Restrictive Food Intake Disorder
Eating Disorder; restriction of intake leading to low body weight (<15-17 BMI); intense fear of gaining weight or becoming fat; disturbance of body image OR undue influence of body image OR lack of insight on seriousness of low body weight; either RESTRICTING or BINGE/PURGE subtype
Anorexia Nervosa
What are the two subtypes of Anorexia Nervosa
Restricting
Binge-eating/purging
BMI that defines Anorexia Nervosa
<15-17
Treatment for Anorexia Nervosa
Re-feeding (slow, gradual to avoid electrolyte swings)
Monitoring vitals, labs, etc. (electrolyte imbalances)
CBT/Psychotherapy
- medications have a very small role in tx of AN
Which electrolyte abnormality is seen in Refeeding Syndrome
Hypophosphatemia
Eating Disorder; recurrent binge-eating followed by inappropriate compensatory behavior (vomiting, laxatives, exercise); occur at least once a week for 3 months; often NORMAL or overweight; look for signs of compensation (acid reflux, ruptured esophagus or loss of enamel)
Bulimia Nervosa
- medications have a big role in tx of BN
- Prozac
- other anti-depressants (SSRI)
Which antipsychotic should you AVOID in Bulimia Nervosa due to increased risk of seizures
Bupropion
Eating Disorder; large amount of food in short time due to lack of control; eating rapidly until uncomfortably full, eats alone due to embarrassment; at least once a week for 3 months; NO compensatory behavior like those in BN!!
Binge-Eating Disorder
Tx for Binge-Eating Disorder
- CBT Therapy
- Medications
1. Sertraline (SSRIs)
2. Lisdexamfetamine
Eating Disorder; eating disturbance with persistent failure to meet nutritional needs (low body weight, nutritional deficits, dependent on supplements); NOT due to disturbance in body image like in anorexia or bulimia
Avoidant Restrictive Food Intake Disorder
