Eating Disorders

Question 1

Anorexia Nervosa

Answer 1

12-30y/o female
refuse to maintain normal weight
Extreme fear of obesity

Could die from cardiac event!

Question 2

Anorexia
Restricting

Answer 2

diet, fasting, rigorous exercise

Question 3

Anorexia
Binge eating/Purging

Answer 3

restricts and binge/purge

Question 4

Anorexia severity BMI

Answer 4

Mild > 17
Moderate 16-16.9
Severe 15-15.9
Extreme BMI < 15

Question 5

Anorexia
Medical Complications

Answer 5

Electrolyte imbalances
(EKG/Arrhythmias)
PROLONG QT = DEATH

bradycardia, hypothermic, hypotension, hypoglycemia, amenorrhea, peripheral neuropathy, acrocyanosis

Question 6

Is cholestrol high for anorexia?

Answer 6

Yes

Question 7

Bulimia Nervosa

Answer 7

repeated uncontrolled compulsive urge to eat
<2hours
followed by purging

Question 8

Compensatory mechanisms following binging

Answer 8

vomiting, laxatives, fasting, excessive exercise

Question 9

Bulimia severity

Answer 9

Mild 1-3x
Moderate 4-7x
severe 8-13x
extreme 11x+

Question 10

Bulimia
Medical complications

Answer 10

electrolyte imabalnce, tooth erosion, enlarged parotid

Question 11

Anorexia/Bulimia Risk

Answer 11

UNKNOWN

Question 12

Anorexia neurochemical

Answer 12

impaired dopamine reuglation
high levels of endogenous opioids

Question 13

Tryptophan

Answer 13

makes seratonin
regulates mood

Question 14

Bulimia brain differences

Answer 14

increased brain matter
more likely to have ADHD

Question 15

Epigenetics

Answer 15

hypodopaminergic paths

Question 16

Risk factors. Bulimia/Anorexia

Answer 16

mother-infant interaction
parent respond to emotional needs with food

family influences

Question 17

Psychodynamic Anorexia/Bulimia

Answer 17

power/control
triggered by stressor/trauma

Question 18

ED cognitive-beh

Answer 18

positive reinforcement

Question 19

Binge Eating Disoder

Answer 19

Repeated episodes of uncontrolled eating

do NOT use compensatory behaviors

Question 20

binge eating disorder causes

Answer 20

low self esteem, reduced coping, ACE

Question 21

PICA

Answer 21

eating substance with no nutritional value
close monitoring!!!

Question 22

Rumination Disorder

Answer 22

undigested food being returned from mouth (reswallow, spit out)

TX: distraction

Question 23

Diabulimia

Answer 23

DM I - restrict insulin to lose weight

INCREASED RISK OF DEATH

Question 24

ED treatment

Answer 24

Restore nutritional status - weight restoration

INCREMENTAL d/t refeeding syndrome

Question 25

Refeeding syndrome
SX

Answer 25

weakness, swelling legs/feet, difficulty breathing, altered mental status, seizure, heart failure

Can lead to death

Question 26

ED DBT

Answer 26

help target problem behaviors that interfer with life/relations

increase ability to manage distress

Question 27

Dietitian Counseling

Answer 27

Assess triggers, review symptoms, food plan, vitamins daily

Question 28

SSRI for anorexia

Answer 28

prozac, zyprexa

Question 29

Nursing intervention ED

Answer 29

Promote self-esteem
Weigh blindly
Monitor vitals/RFS
Establish good eating patterns