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Module 5 > EATING DISORDERS > Flashcards

EATING DISORDERS Flashcards

1
Q

EATING DISORDERS

A

They serve a purpose and can be different for everyone
Comfort
Numbing
Cry for help
Self punishment
Avoidance of intimacy

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2
Q

Disordered eating

A

Problmematic eating patterns
Abnormal eating but not to the point of an eating disorder

Still serious and on a spectrum

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3
Q

Anorexia

A

All about a sense of control
(Where you eat, what you eat, how much you excercise

High level of distrust - think someone is lying if they tell them they are skinny

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4
Q

Cardiovascular medical complications from anorexia

A

Brady cardia, hypotension
Mitral valve prolapse (due to prolonged malnutrition)
Arrhythmias (diet pills or level of malnutrition)
Redeeming syndrome
Echo changes

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5
Q

Refeeding syndrome

A

We try to have them gain weight too quickly which can cause a lot of problems

Goal is weight gain of .5- 1 pound a wk

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6
Q

Dermatological medical complications anorexia

A

Dry skin , alopecia , lanugo , hair

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7
Q

Gastrointestinal med complications from anorexia

A

Constipation from depending on laxatives too much

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8
Q

Endocrine and metabolic medical complications of anorexia

A

Amenorrhea, infertility , osteoporosis

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9
Q

Bulimia nervous

A

Instead of being underweight
They may be verge weight or slightly overweight

Outgoing, impulsive
Aware of problem , want help
Prone to acting out (shop lifting, self destructive behaviors- cutting, drugs, etc )

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10
Q

How is bulimia nervous charecterized

A

Recurrent binge eating 1x a wk for 3 mo

Binge eating - lack of control
Guilt

Purging

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11
Q

Purging

A

Vomiting
Laxatives and or diuretics
Fasting for days following a binge
Excessive excercise

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12
Q

Medical complications of BN cardiovascular

A

Arrhythmias
Diet pill toxicity ; palpitations
Hypertension

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13
Q

Medical complications of BN gastro intestinal

A

Esophageal rupture
Constipation r/t laxative use
Dental erosion
Parotid gland swelling ( saliva after vomiting, so they are always used causing swelling)

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14
Q

Metabolic typical fatality causes

A

Hypokalemia
Dehydration
Metabolic alkalosis

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15
Q

Medical complications of BN of the endocrine

A

Irregular menses

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16
Q

Pulmonary medical complications of BN

A

Aspiration pneumonia

17
Q

Other complications of BN

A

Mouth ulcers
Loss of tooth enamel
Russels sign
Parotid swelling

18
Q

Russels sign

A

Classic sign of BN
Calluses on the back of the knuckles from sticking their hands into their mouth and inducing vomiting

19
Q

Binge eating disorder

A

Reoccurent episodes of binge eating 1x a wk for 3 mo

Bulemia w/o the purge

20
Q

Avoidant / restrictive food intake disorder (ARFID)

A

Fear of certain foods due to the way the smell, taste, and feel.

Resulting in failure to grown and develop as expected and or significant weight loss

Nutritional deficiencies are common and may become life threatening

21
Q

Other specified feeding or eating disorder (OSFED)

A

Person wakes in the middle of the night and eats large amounts of food

Fridge next to bed , wake up binge eat and go back to sleep
Associated with low melatonin levels

22
Q

Enmeshed family

A

Family decides everything, no boundaries , not encouraged to think differently than the amity and if you do you dont fit in with them

23
Q

What works with enmeshed family

A

Therapy as a family to teach boundaries and about earring disorder

24
Q

Food addiction

A

Uncontrollable eating ,

25
Q

Drunkorexia

A

Starvation or binge eating/purging combined with alcohol is it can result in alcohol intoxication, and electrolyte in balance

26
Q

Pregorexia

A

Attempting to remain slim while pregnant

27
Q

Post bariatric surgery

A

Avoidance or nibbling of food , not really eating fear of gaining weight,

28
Q

Diabulima

A

Individuals who have type 1 diabetes who reduce their insulin to lose weight

29
Q

Orthroexia nervosa

A

Obsession with healthfulness
Of foods and this interferes with daily life

Purpose behind different diets almost like religion
Extreme rigidity surrounding food content and food prep

30
Q

Dialectical behavior therapy

A

Accepting negative emotions you feel them and learn to let them go

31
Q

Cognitive behavioral treatment

A

Food journaling what they ate and drank and how they feel about it , try to change perception
Behavioral contracts -An agreement that the pt makes with others to change a maladaptive behavior / written contract

32
Q

SSRIs

A

Used in pt with BN and binge eating disorders to treat depression and suicidal ideation

Fluoxetine (Prozac)
Setraline (Zoloft)
Citalopram (celexa)
Escitalopram ( lexapro)

33
Q

side effects of ssri

A

Headache dry mouth weight gain nervousness , nd sexual dysfunction

34
Q

Tricyclic antidepressants

A

Affective with BN

35
Q

Selective norepinephrine reuptake inhibitors SNRI

A

(SNRIs)
Shows efficacy for treating binge BINGE EATINGdisorders

Velnafaxine (Effexor)
Duloxetine (cymbalta)

36
Q

Anticonvulsants

A

Shown to decrease in BINGE EATINGepisodes
Topiramate ( Topamax)
Zonisamide (zonegran)

37
Q

Antipsychotics

A

Reduce distorted thinking related to the eating disorders
Olanzapine (zyprexa)

Module 5 (39 decks)

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