NUR 144 - WEEK 4 - Eating Disorders

Question 1

Warning signs of Eating Disorders

Answer 1

• Unexplained weight loss or gain
• Lying about food/eating
• Secret eating/binging
• Excessive exercising
• Pre-occupation with weight & body image
• Fear of fat

Question 2

Anorexia Nervosa (AN):

What is it?
Clinical manifestations

Answer 2

Self-induced starvation
- Very thin
- Self conscious on weight

Manifestations:
- Thin, emaciated appearance
- Hypotension, bradycardia, dysrhythmias
- Hypothermia
- Dehydrated
- Peripheral Edema

Question 3

Bulimia Nervosa (BN):

What is it?
Clinical manifestation

Answer 3

Binge eating followed by purging (vomiting)

Clinical Manifestations:
- Can have normal weight
- GI disturbances
- Lab abnormalities:
- Parotid gland enlargement / “Chipmunk cheeks”
- Dental issues
- Russell’s sign: callouses/scars on knuckles

Question 4

Binge-eating disorder (BED:

What is it
Characterized by
Clinical Manifestations

Answer 4

Repeated rapid consumption of large amounts of food, unrelated to hunger

Characterized:
- Eating within 2 hour period of an amount of food larger than what most people would eat
- Lack of control of overeating during episode

Manifestations:
- Normal to overweight (obesity, diabetes possible)
- Nutritional deficiencies
- Dental caries
- GI disturbances
- HTN
- Heart disease

Question 5

Refeeding syndrome:

Answer 5

Can’t “fatten” an anorexic patient up too quickly
- Huge fluid shift, electrolyte imbalance which causes cardiac condition = death
- They must have a very calculated food plan to reintroduce new food