Eating Disorders Flashcards
Intake questions for food to ask?
how much did you eat Yesterday?
Purging?
stimulants
Laxatives
Exercising
What cognition a in eating disorders?
Stress?
Anorexic cognitions: fear of weight gain, insight, food control.
Risks with eating disorders
Re-feeding syndrome
Cardiac/medical
What increases risk of refeeding syndrome?
Decreased weight
Rapid weight loss(over 2 years vs. weeks)
Severe restriction
new onset
Chronic state of starvation, how to assess?
chronic state oMalnutrition
Postural hypotension
Hypokalaemia
Postural tachycardia
Russell’s sign
What is the most available energy source after glycogen?
Albumin
Fibrinogen
Why you get bruising in starvation
Comorbidities of eating disorders?
Impulse control Borderline -needs to be enduring and there when they are well. Anxiety Depression OCD
Borderline Personality traits?
Immature and underdeveloped sense of self Sense of emptiness Abandonment - afraid of ppl leaving you? Emotional regulation Relationship volatility, multiple episodes Labile mood Impulsiveness: sex, drugs, finances Dissociation: stress Paranoia: stress
Bloods for eating disorders?
FBE: leucopaenia, chronic anaemia?
UEC: CMP, K, Na
LFT: albumin
MAJOR complications of eating disorders
Infertility Cerebral atrophy Osteopenia - DEXA Muscle wasting Kidney wasting Gastroparesis
Acute management of Eating Disorders
NGT? Oral? Call Dietician: 1500 cal Obs, rest Electrolyte correction Give THIAMINE Psych support: family, suicidality, psycho Edu,
When to use NGT? 2 reasons
Refusing to eat - Mental health act
If ppl ask for it.
Long term management of eating disorders
Family based therapy
Separation/externalizing the illness
CBTe
DBT - borderline personality
Who is at high risk of eating disorder?
Perfectionist traits High standards of themselves Borderline personality - emotional regulation - Bulnaemia Attitudes to food: Hypercritical parenting style Childhood obesity and sexual assault
