Eating Disorders Flashcards
what is the core issue in eating disorders
control
what is an eating disorder
a severe disruption in norm eating/perception of weight
dx categories in eating disorders
anorexia
bulimia
which dx eating disorder is more common
bulimia
neurological theory for eating disorder
altered serotonin increases anxiety and body image distortion
mood problems - depression
reduced impulse control (bulimia)
there is a genetic component to eating disorders, t or f
true
psychological theory for eating disorder
low self-esteem
family dynamics - controlling/perfection(anorexia), chaotic/emotionally expressive (bulimia)
meds used to treat eating disorders
SSRI’s
co-morbidities r/t eating disorders
sexual abuse
other psych illnesses
OCD w/anorexia
incidence of anorexia
early to mid-adolescence
women ages 35-65 due to chg in appearance
incidence of bulimia
late adolescence
s/s of anorexia
lanugo
cachetic (skinny)
mottled, cool skin on extremities
low BP
s/s of bulimia
norm weight
dental erosion
enlarged parotid glands
reported behaviors (self-induced vomiting, laxative/diuretic use, excessive exercise)
complications w/anorexia
electrolyte imbalances
blood/protein in urine due to dehydration/malnutrition
***criteria for inpatient hospitalization r/t anorexia
weight loss >30% of body wt. within 6 mos
hypothermia
psych criteria for inpatient hospitalization r/t anorexia
suicidal self-mutilating behaviors use of laxatives - uncontrolled severe depression failure to comply w/trt family crisis/dysfunction
what is Russell’s sign
calluses on the knuckles from self-induced vomiting
physical complications of bulimia
cardiac arrest
Russell’s sign
esophageal tears
A patient has anorexia nervosa. The history shows the
patient virtually stopped eating 5 months ago and has lost 25% of body weight. The serum potassium is 2.7 mg/dl.
Which nursing diagnosis applies?
A.Adult failure to thrive, related to abuse of
laxatives as evidenced by electrolyte imbalances and
weight loss
B.Disturbed energy field, related to physical
exertion in excess of energy produced through caloric
intake as evidenced by weight loss and hyperkalemia
C.Ineffective health maintenance, related to
self-induced vomiting as evidenced by swollen parotid
glands and hyperkalemia
D.Imbalanced nutrition: less than body
requirements, related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia
Which personality characteristic is a nurse most likely to
assess in a patient with anorexia nervosa?
B.Rigidity, perfectionism
Which assessment finding for a patient with an eating
disorder meets a criterion for hospitalization?
D.Systolic blood pressure: 62 mm Hg
During her assessment of a client who has been
diagnosed with bulimia nervosa, the nurse knows to
check for certain characteristics that accompany binge
eating and purging. Identify the characteristics that are
most applicable. Select all that apply.
- Guilt
- Dental caries
- Self-induced vomiting
- Normal weight