Eating Disorders Flashcards
Anorexia Nervosa
Restriction of energy intake that leads to a very LOW body weight
What are some general symptoms of Anorexia Nervosa?
- Intense fear of gaining weight despite being underweight
- Distorted perception of body with high influence on self esteem
What are the 2 types of Anorexia Nervosa?
- Restricting Type
2. Binge-eating/Purging Type
Restricting Type Anorexia Nervosa
Excessive exercising, fasting, dieting
Binge-eating/Purging Type Anorexia Nervosa
3 months of binging and purging behaviors
– self-induced vomiting, laxatives, etc.
What is the severity of Anorexia Nervosa based on? What are the levels?
BMI
- Mild: >17
- Moderation: 16-17
- Severe: 15-16
- Extreme: <15
What condition is highly associated with Anorexia Nervosa?
OCD
– Also depression, personality disorders/traits
OCD is associated with which eating disorder?
Anorexia Nervosa
Why is it important to recognize and treat the comorbidities with Anorexia Nervosa?
INCREASED mortality when another psych disorder is present
– LOTS of medical complications
What is a potentially fatal adverse effect of treating Anorexia Nervosa?
Refeeding Syndrome
What is Refeeding Syndrome?
Complications that occur with fluid/electrolyte shifts when treating Anorexia Nervosa patients
Why should you not rehydrate/feed Anorexia Nervosa patients beyond their current capacity?
Refeeding Syndrome
– electrolyte/fluid shifts that cause complications
What are some signs of Refeeding Syndrome?
CHF Edema Rhabdomyolysis Seizures Hemolysis Decreased K+, phosphate
CHF, edema, rhabdomyolysis, seizures, hemolysis are signs of?
Refeeding Syndrome
How do you avoid Refeeding Syndrome?
Limit calories/fluid in early stages and avoid rapid increases
– closely monitor labs
