Eating disorders Flashcards
3 types of eating disorders
anorexia nervosa
bulimia nervosa
binge eating disorder
Restriction of energy intake to requirements, resulting in significantly low body weight
Intense fear of gaining weight, becoming fat, persistent fears
Gross distortion of body image, persistent lack of recognition of seriousness of low body weight
anorexia nervosa
anorexia diagnostic criteria
-restriction of energy intake
- intense fear of gaining weight
-persistent behavior that interferes with weight gain
- Disturbance in the way in which one’s bodyweight or shape is experienced
when does anorexia commonly begin?
adolescence or young adulthood
often associated with a stressful life event (Ex. leaving home for college)
anorexia nervosa
social factors related to anorexia
-family issues
- vocational influences (ballet, athletes, models)
- internet influences
behaviors of anorexia nervosa
- intense fear of gaining weight
- refuse to eat w/ family or in public
-may wear baggy clothing
-laxative/diuretic abuse
-overexercising
-diet with restrictive carb/fat
S&S of anorexia
- BMI 17 or below
- hypotension
- ekg changes
-bradycardia
-constipation
-dehydration
-no periods
everything goes down
Assessment for anorexia
-BMI
-Vital signs
- labs: CBC, lipids, LFT’s
- ECG
-bone density
-dental caries
-suicide assessment
Anorexia lab findings: Hematology
-anemia
Anorexia lab findings: serum chemistry
-hypercholesterolemia
-elevated hepatic enzymes
- hypomagnesemia, hypokalemia
Anorexia lab findings: endocrine
- low T3 and T4
- low estrogen or testosterone
nursing care for pt with anorexia
- monitor intake and output
- daily weights
-stay with pt during meals - avoid arguing and bargaining
nursing diagnosis for anorexia
-risk for suicide
- imbalanced nutrition
- deficient fluid volume
-disturbed body image
-recurrent episodes of eating unusually large amounts of food and feeling a lack of control over these episodes
-followed by behaviors that compensate for the overeating, such as forced vomiting, excessive use of laxatives or diuretics, fasting, excessive exercise, or a combination of these behaviors.
bulimia nervosa
Unlike those with anorexia nervosa, people with bulimia nervosa may
maintain a normal weight or be overweight.
bulimia diagnostic criteria
-Recurrent compensatory behaviors in order to prevent weight gain i.e., self-induced vomiting, laxative misuse, diuretics, fasting, excessive exercise
- Recurrent episodes of binge-eating, characterized by:
Eating in a discrete period of time i.e., any 2 hour period, an amount of food that is larger than what another person would eat in same time period
A sense of lack of control over eating during the episode
-Begins during or after an episode of dieting
-Multiple stressful life events
-Elevated risk for mortality
-Elevated suicide risk
bulimia
labs for bulimia nervosa
-CMP for electrolyte imbalance
- glucose
-TSH
-CBC
-amylase
serious medical complications: Cardiovascular abnormalities (cardiomyopathy, EKG changes)
Electrolyte imbalances CAN LEAD TO DEATH
Hypokalemia, hyponatremia (purging, vomiting, laxative & diuretic use)
Ipecac intoxication can lead to cardiac failure
Esophageal varices (r/t vomiting)
Gastric rupture
bulimia
People with _______ disorder lose control over their eating.
Unlike bulimia nervosa, periods of _______ are not followed by purging, excessive exercise, or fasting. As a result, people with ______ disorder are often overweight or obese
binge eating disorder
most common eating disorder
binge eating disorder
diagnostic criteria: Recurrent episodes of ________ characterized by:
Eating with a discrete period of time an amount of food that is much larger than what would be consumed by most people in the same time period
A sense of lack of control over eating during the episode
binge eating disorder
Binge eating episodes are associated with 3 or more
-Eating more rapidly than normal
-Eating until uncomfortably full
-Eating large amounts of food when not hungry
-Eating alone because of embarrassment by amount of food
-Feeling disgusted with oneself, depressed, or guilty afterwards
