ED

Question 1

ED indicatons for Admission

Answer 1

body wt 20% below expected
BP < 90/60 (80/50 for peds)
HR < 40 (near 40  in peds)
 postural increase in HR > 20, or BP drop by 10
T< 97 (36.1)
electrolyte imbalance
K < 3

suicidal..
Glucose< 60
uncontrolled DM

Question 2

ED refeeding

Answer 2

500 cal above maintenance
2-3 lb per wee
weekly  9or more) weighing
labs daily for 5 days then Q2days for weeks
continuous feeding better

Question 3

Faces family model

Answer 3

extreme low to extreme high
o
cohesion and adaptatability
Cohesion: disengaged,separated, connected, enmeshed
adaptability: rigid, structured, flexible, chaotic

Question 4

increased in AN

Answer 4

reverse T3 ( T3 decreased)
amylase
cholesterol (HDL)
carotene
lymphocytosis( relative, with leukopenia)
complementary component 3?
creatinin kinase? Ms breakdown
corticosteroids
growth hormone

Question 5

what say you about combining SSRI with therapy for BN?

Answer 5

” may be superior” to either alone

Only Prozac FDA approved