Eating disorders Flashcards
How is Anorexia Nervosa described or shown in patients?
Extreme perfectionism, significant weight loss, body image disturbances, strenuous exercise, need to please others, individual becomes malnourished, damage to brain, heart, kidneys
What mental illness has the highest mortality rate?
Anorexia nervosa
How is anorexia nervosa characterized?
Preoccupation with food
Refusal to eat
Who does anorexia nervosa occur more often in?
Women, from adolescents to adults
What is often the onset to anorexia nervosa?
A stressful life event
Manifestations of anorexia nervosa include:
- brittle hair, nails, dry skin
- lanugo (baby like hair all over skin)
- osteoporosis
- amenorrhea
- constipation
- anemia
- low sodium
- low potassium
Does a person with anorexia nevosa typically feel cold or hot?
Cold
In a patient with anorexia nervosa, does a patient show a decreased or increased HR and BP?
Decreased HR and BP
What is bulimia nervosa?
Binge eating and unhealthy compensatory behaviors at least once per week for 3 months.
How does bulimia nervosa typically begin?
As a way to eat and stay slim
What are people that have bulimia nervosa typically obsessed with?
Body appearance
What does bulimia nervosa come as a result of?
Stress, negative feelings
What are some physical indicators of bulimia nervosa?
- stomach pain
- sore throat
- damaged teeth (acid)
- scars of backs of fingers
- electrolyte imbalance
- GERD
- dehydration
- irregular heartbeat
- swollen parotid glands
What is a person with bulimia nervosa weight typically at?
Normal weight, or even slightly overweight
Who typically presents with bulimia nervosa?
Adolescent females
Why do people with unlimited nervosa typically hide their actions?
They are embarressed
Who are eating disorder symptoms more common in?
Older adults
Collaboration includes lab testing, consults with medical professionals, reestablishing adequate nutrition and
Stop the binge-purge eating,
What are the diagnostic tests for anorexia nervosa?
-albumin, total protein, electrolyte levels, CBC, bone density, ECG, urinalysis, kidney, thyroid, liver function tests
What are the diagnostic test for bulimia nervosa?
-dental assessment, physical assessment
What are the diagnostic tests for a binge eating disorder?
-physical exam, blood and urine tests
What drugs are used for anorexia nervosa?
- antidepressants: SSRI’s, atypical category:Bupropion Hydrocloride
- antipsychotics
- mood stabilizers
What drugs are used for bulimia nervosa?
Fluoxetine (Prozac)
What drugs are used for binge eating disorders?
Antidepressants, particularly fluoxetine.
What are the adverse affects of SSRI’s?
Sexual dysfunction, nausea, headache, wight gain, anxiety, insomnia,
What are the less common side effects of SSRI’s?
Sedation, anticholinergic effects, sympathomimetics effects
What does mania mean?
Someone has a highly elevated mood
For any mental exam it is important to do this to rule out the possibility of underlying causes?
Thorough physical examination
