eating disorders Flashcards
pts with anorexia nervosa might present w
bradycardia orthostatic hypotensiona arrhythmias QT prolongation ST-T wave changes in EKG anemia, leukopenia cognitive impairment, enlarged ventricles decreased gray and white matter on brain imaging peripheral neuropathy lanugo musc wasting
pts who do self induced vomiting have what
parotid enlargement
increased amylase levels
electrolyte imablances
diagnosis of anorexia
pg 147
physical manifestations of anorexia
amenorrhe cold intolerance hypotension bradycardia arrhythmia acute coronary syndrome cardiomyopathy mitral valve prolapse constipation lanugo alopecia edema dehydration peripheral neuropathy seizures hypothyroidism osteopenia osteoporosis
refeeding syndrome
when severely malnourished refed too fast
fluid retention, decreased levels of phosphorous, magnesium, calcium
arrhythmias, resp failure, deilrium, seizures
nonpurging type of bulimia
involves excessive exercise or fasting
diagnosis of bulimia
pg 149
sialadenosis
salivary gland enlargement
physical manifestations of bulimia
sialadenosis dental erosion calluses on drosum of hand petechiae peripheral edema aspiration
tx for bulimia
antidepressants plus therapy
SSRIs first line (fluoxetine)
avoid buproprion b/c lowers seizure threshold
binge eating disorder diagnosis
pg 150
anorexia and bulimia at risk for cardiac arrhyth: true or false
true due to elec disturbances