Q2 Eating Disorders Flashcards
criteria for anorexia nervosa
- restriction of energy intake
- fear of gaining weight
- disturbance of body image OR
- influence of body image on self evaluation OR
- lack of insight on seriousness of low body weight
subtypes of anorexia nervosa
- restricting type
- binge-eating/purging type
body mass index scales for anorexia nervosa
- mild
- moderate
- severe
- extreme
> 17
16-16.99
15.15.99
<15
what is normal BMI
- 18.5-24.99
what else besides BMI can you look at in anorexia nervosa
how does anorexia fit on this scale
- ideal body weight
<80 IBW
which gender is more likely to have anorexia nervosa
- what’s the ratio
- female
10: 1
which race is more likely to have anorexia nervosa
- caucasian
which age is more likely to have anorexia nervosa
- adolescence
medical issues with anorexia nervosa
- arrhythmias
- lack of periods
- dental caries
- low electrolyte levels
treatment for anorexia nervosa
- medical stabilization
- psychiatric treatment
what can low electrolyte levels cause in anorexia nervosa
- arrhythmias
acute phase treatment of anorexia nervosa
- re-feeding for slow and gradual weight gain
- constantly monitor labs
what is refeeding syndrome
- body is used to surviving with less
- with food there is now an increase demand for electrolytes that the patient doesn’t have
- can lead to arrhythmias
what is the classic hallmark of refeeding syndrome
- hypophosphatema
maintenance phase of anorexia nervosa treatment
- psychotherapy
- CBT
- family therapy
medications for anorexia nervosa
- not really
- consider olanzapine for weight gain
bulimia nervosa criteria
- binge eating
- compensatory behavior
- undue influence of body image on self evaluation
examples of compensatory behavior in bulimia nervosa
- vomiting
- laxatives
- exercise
bulimia nervosa symptoms must occur at least _____ a week for ____
- once a week
- 3 months
gender more likely to get bulimia nervosa
ratio
- females
- 10:1
weight of someone with bulimia nervosa
- normal weight
- overweight
signs of compensation in bulimia nervosa
- acid reflux
- ruptured esophagus
- loss of enamel
medications for bulimia nervosa
- fluoxetine
- other SSRIs
meds to avoid with bulimia nervosa
why
- bupropion
- risk of seizures
criteria for binge-eating disorder
- recurrent binge eating
- three symptoms
- eating quicker than normal
- until uncomfortably full
- large amounts when not hungry
- eating alone
- disgusted, depressed, or guilty after eating
binge-eating disorder criteria means you must binge at least ____ a week for _____
- once a week
- 3 months
gender most likely to have binge-eating disorder
ratio
- females
- 2:1
treatment for binge-eating disorder
- therapy
- medications
medications for binge-eating disorder
- vyvanse
- sertraline
- topiramate
criteria for avoidant restrictive food intake disorder
an example
- failure to meet nutritional needs
- not due to lack of food/cultural practice, disturbance in body imagine, etc
- someone who choked on solid food once and now won’t eat solid food again
what is rumination disorder
- repeatedly regurgitating food for at least 1 month
