Eating Disorders Flashcards
Anorexia nervosa - restricting type
-in last 3 months individual has NOT engaged in recurrent episodes of binge-eating or purging
-weight loss accomplished through dieting, fasting, excessive exercise
Anorexia nervosa - binge/purging type
-in last 3 months individual has engaged in recurrent episodes of binge-eating or purging behavior
-differencing between this subgroup and bulimia nervosa is the low body weight with AN
What BMI is considered to be the low end of normal?
18.5
AN health consequences (10)
- slow heart rate / low BP
- decreased bone density
- electrolyte abnormalities
- hypoglycemia
- dry skin + hair loss
- severe dehydration
- downy layer of hair (lanugo) all over body
- cold intolerance
- delayed gastric emptying
- constipation
Treatment focus for AN inpatient hospitalization
Treatment of acute risks - i.e. psychosis, electrolytes, cardiac abnormalities
Treatment focus for AN outpatient hospitalization
Treatment of chronic symptoms and relapse prevention - i.e. therapy, counseling
**CBT has the best outcomes
Refeeding results in shift from ______ metabolism to _______ metabolism
fat -> glucose
What can refeeding sydrome lead to?
Hypokalemia
Water retention - severe edema
Multiple organ failure
*INCREASE CALORIES SLOWLY
What medication is contraindicated for the treatment of AN?
Bupropion
T/F: Binge eating disorder is not associated with recurrent use of inappropriate compensatory behavior.
True
What classifies mild binge-eating disorder and bulimia nervosa?
1-3 eps/week
What classifies moderate binge-eating disorder and bulimia nervosa?
4-7 eps/week
What classifies severe binge-eating disorder and bulimia nervosa?
8-13 eps/week
What classifies extreme binge-eating disorder and bulimia nervosa?
≥ 14 eps/week
Binge-eating disorder health consequences (5)
- HTN
- High cholesterol
- CV disease
- T2DM
- Gallbladder disease
**similar to obesity health risks
