Eating Disorders Flashcards

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1
Q

Anorexia Nervosa

A

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

Could die from cardiac event!

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2
Q

Anorexia
Restricting

A

diet, fasting, rigorous exercise

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3
Q

Anorexia
Binge eating/Purging

A

restricts and binge/purge

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4
Q

Anorexia severity BMI

A

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

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5
Q

Anorexia
Medical Complications

A

Electrolyte imbalances
(EKG/Arrhythmias)
PROLONG QT = DEATH

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

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6
Q

Is cholestrol high for anorexia?

A

Yes

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7
Q

Bulimia Nervosa

A

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

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8
Q

Compensatory mechanisms following binging

A

vomiting, laxatives, fasting, excessive exercise

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9
Q

Bulimia severity

A

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

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10
Q

Bulimia
Medical complications

A

electrolyte imabalnce, tooth erosion, enlarged parotid

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11
Q

Anorexia/Bulimia Risk

A

UNKNOWN

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12
Q

Anorexia neurochemical

A

impaired dopamine reuglation
high levels of endogenous opioids

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13
Q

Tryptophan

A

makes seratonin
regulates mood

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14
Q

Bulimia brain differences

A

increased brain matter
more likely to have ADHD

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15
Q

Epigenetics

A

hypodopaminergic paths

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16
Q

Risk factors. Bulimia/Anorexia

A

mother-infant interaction
parent respond to emotional needs with food

family influences

17
Q

Psychodynamic Anorexia/Bulimia

A

power/control
triggered by stressor/trauma

18
Q

ED cognitive-beh

A

positive reinforcement

19
Q

Binge Eating Disoder

A

Repeated episodes of uncontrolled eating

do NOT use compensatory behaviors

20
Q

binge eating disorder causes

A

low self esteem, reduced coping, ACE

21
Q

PICA

A

eating substance with no nutritional value
close monitoring!!!

22
Q

Rumination Disorder

A

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

TX: distraction

23
Q

Diabulimia

A

DM I - restrict insulin to lose weight

INCREASED RISK OF DEATH

24
Q

ED treatment

A

Restore nutritional status - weight restoration

INCREMENTAL d/t refeeding syndrome

25
Q

Refeeding syndrome
SX

A

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

Can lead to death

26
Q

ED DBT

A

help target problem behaviors that interfer with life/relations

increase ability to manage distress

27
Q

Dietitian Counseling

A

Assess triggers, review symptoms, food plan, vitamins daily

28
Q

SSRI for anorexia

A

prozac, zyprexa

29
Q

Nursing intervention ED

A

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