Eating Disorders (11)

Question 1

Anorexia Nervosa (8)

Diagnostic criteria
3

Answer 1

Restriction of eating

Intense fear of gaining weight or becoming fat

Does not like weight or body shape

Question 2

Anorexia Nervosa

Restricter

How is the weight?
In the past 3 months?
Avoid?

Answer 2

Normal or slightly above weight before eating disorder

In the past 3 months, has lost weight by dieting and over exercising.

Avoid situations where they are expected to eat

Question 3

Anorexia Nervosa

Vomiter/Purger

How is the weight?
Self?
Eat?
What problems?

Answer 3

Overweight prior to eating disorder with fluctuation in weight

Self induced vomiting, laxatives or diuretics

Eat normally
Purge after meals

Dental problems/teeth enamel due to vomiting

Question 4

Anorexia Nervosa Severity

Mild?
Moderate?
Severe?
Extreme?

Answer 4

Mild: BMI > than 17 kg
Moderate: BMI 16- 16.99 kg
Severe: BMI 15-15.99 kg
Extreme: BMI < 15 kg

Question 5

Physiological symptoms of Anorexia Nervosa
6

Answer 5

Hypotension
Hypothermia
Bradycardia
Dry skin and Lanugo
Dehydration
Constipation

Question 6

Psychological Symptoms of Anorexia Nervosa
5
DISDO

Answer 6

Depression
Irritability
Social withdrawal
Decrease libido
Obsessional symptoms

Question 7

Bulimia nervosa

What is it?
Followed by?

Answer 7

Eating alot in a short period of time due to never being satisfied.

It is followed by attemps to undo the overeating

Question 8

Bulimia Nervosa

Diagnostic Criteria
A, B,?
C: How often do behaviors happen?

Answer 8

A) Episodes of binge eating. The person is:
-Eating alot within a 2 hour time frame
-Cannot control how much they’re eating and cant stop.

B) Compensatory behaviors to prevent weight gain:
Self-induced vomiting
Misuse of laxatives
Diuretics

C) Binge eating and Compensatory behaviors happen at least 1x a week for 3 months

Question 9

Physiological characteristics in Bulimia Nervosa
8

FD MM ED R

Answer 9

Fluid and electrolyte imbalance
Dehydration

Metabolic acidosis
Mechanical irritation to GI tract

Enlarged salivary glands
Dental erosion

Russell sign (callus on knuckles from trying to vomit)

Question 10

Binge Eating Disorder

Diagnostic Criteria

A and B?
No what?

Answer 10

A) Recurrent binge eating
-Eating large amounts of food in <2 hrs
-Lack of control during episodes

B) Associated with 3 or more:
eating fast
eating until feeling very full
eating even when not hungry
eating alone or discretely
feeling disgusted, depressed, or guilty about how much was eaten.

NO COMPENSATORY BEHAVIORS!!!!

Question 11

Eating disorders medications and therapies (1)

Anorexia Nervosa? 3
Bulimia? 1
Binge Eating? 3

Answer 11

Anorexia Nervosa:
IVs/ feeding tube/ refeeding
Anxiolytics
Olanzapine to promote weight gain

Bulimia Nervosa:
CBT

Binge eating:
Second generation antidepressants
CBT
LDX (Lisdexamfetamine)

Question 12

Identify treatment approach for Binge Eating Disorder (1)

Must treat? Med?
Combination of?

Answer 12

Pharm:
Must treat depressive symptoms
Second generation antidepressants (Fluoxetine)

Combination of CBT
Lisdexamfetamine (LDX)
2nd generation antidepressants

Question 13

Identify treatment approaches and nursing interventions for individuals with
anorexia nervosa. *NGN (1)

Treatment where?
Through?
Initial treatment goal?
After stabalization?

Answer 13

Treatment in a medical setting due to severe malnourishment

IV lines and feeding tubes

Initial treatment goal: Medical stabilization of the patient

After stabilization: focus on high-calorie intake through meals or combined with nasogastric feedings