Weight disorders, metabolism

Question 1

Older adults have what changes to consider with drug processing

Answer 1

decrease in intracellular water
decrease in protein binding (more floating medicine)
decrease muscle mass
decrease metabolism
increase in body fat concentration

Question 2

Anorexia BMI

Answer 2

is usually low

Question 3

Anorexia signs and symptoms (4)

Answer 3

amenorrhea, emaciation, bradycardia, hypotension, low BMI

Question 4

Anorexia changes heart waves by (2)

Answer 4

inversion T waves, and prolonged QT intervals

Question 5

Treatment for anorexia (3)

Answer 5

no medication specifically is specified, psychotherapy is best, anxiety and depression meds are ok

Question 6

Bulimia Nervosa BMI

Answer 6

normal range

Question 7

S/S of Bulima (4)

Answer 7

erosion dental enamel, Russell sign (scarring or calluses on back of hands) hypertrophy of salivary glands
rectal prolapse

Question 8

Medication tx for Bulimia (3)

Answer 8

Prozac FDA approved
SSRIs and tricyclic antidepressants

Question 9

BMI Underweight, Normal, Overweight, Obese

Answer 9

UW- 18.5 or less
Normal- 18.5-24.9
OW- 25.0 -29.9
Obese- 30 and up

Question 10

If patient with anorexia complains of pain after eating/bloating/fullness what can this be due to?

Answer 10

delayed gastric emptying

Question 11

medications that can cause delayed gastric emptying (3)

Answer 11

ranitidine
famotidine
omeprazole

Question 12

Antiacids/ PPIs such as omeprazole, and Protonix can decrease the absorption of _____ and what pt education is needed

Answer 12

psychotropics so you have to give it 2 hours apart from psychotropic

Question 13

criteria for admission for anorexia 3

Answer 13

BMI less than 15
weight that has exceeded 25 percent of a person’s total body weight within three months
severe dehydration **, infection of any kind, low heart rate, anemia, low body temperature, vomiting up blood, and low potassium levels

Question 14

If a patient is losing 3-5 percent body fat daily for 3 months do they meet criteria for anorexia

Answer 14

yes because exceeds 25 percent of total body weight

Question 15

if parent brings in teenager for assessment and BMI is 12/13 and is severely dehydrated, losing weight what is priority decisison

Answer 15

arrange for medical hospitilizaiton

Question 16

what if parent of the adolescent who is underweight and anorexic does not want their child to be medically hospitalized what is your next step?

Answer 16

Get CPS involved

Question 17

eating large quantities of food in a short period of time often to the level of discomfort and distress

Answer 17

binge eating

Question 18

What do you want to assess for binge eating 3

Answer 18

frequency and severity of episodes
specific triggers
attempts to compensate for binge episodes such as fasting, excessive exercise, laxative use