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15 Cards in this Set
- Front
- Back
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Eating disorders - Characteristics of Anorexia Nervosa
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- Refusing to maintain body weight
- Intense fear of gaining weight - Disturbance of body image - Amenorrhea |
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Eating disorders - Characteristics of Bulimia
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- Recurrent episodes of binge eating
- Recurrent inappropriate compensatory behavior to prevent weight gain - Binge eating/ behavior occurs at least twice weekly for 3 months - Self-evaluation influenced by shape and weight |
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Eating disorders - Types of Anorexia Nervosa
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- Restricting diet
- Binge Eating / Purging |
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Eating disorders - Types of Bulimia
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- Purging
- Nonpurging |
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Eating disorders - Consequences of Anorexia
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- Total organ impairment
- Cardiac conditions (eg. arrhythmias) - Electrolyte imbalances - Amenorrhea (low BMD leading to osteoporosis) - Damaged teeth from vomiting |
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Eating disorders - Consequences of Bulimia
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- Electrolyte imbalance
- Parotid gland enlargement - Dental caries - Esophageal rupture - Consequence of abused substances (eg. ipecac is cardiotoxic) |
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Eating disorders - The biggest barrier to treatment is ___
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Patient denial
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Eating disorders - What are the types of psychotherapy? (3)
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- Interpersonal
- Cognitive Behavioral - Group |
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What is the primary goal in treating Anorexia?
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To restore nutritional status
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What are the lab values to check in Anorexia?
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Sodium, potassium, chloride, bicarbonate, Creatinine, magnesium, calcium, phosphorus, zinc, vitamin B12 ferritin.
ECG, hemoglobin, WBC, urinalysis, RBC, folate, Blood glucose |
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Eating disorders - Nonpharmacologic treatment
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- Develop and maintain rapport and therapeutic alliance
- Consider the need for and role of family intervention and treatment - Set up stepwise nutritional goals - Use nutritional supplements to achieve weight gain if not possible through food - Exercise should be limited |
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Eating disorders - An important mineral that is usually deficient in Anorexia and is important in gaining back weight is ___
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Zinc. It is depleted in times of stress.
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Eating disorders - Pharmacologic treatment for Anorexia
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1. Prokinetic agents (eg. Domperidone 10-20mg TID before meals)
2. Zinc Gluconate 3. SSRI (eg. Fluoxetine 40-60mg po OD) 4. Olanzapine (2.5-20mg/day po) |
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Eating disorders - Pharmacologic treatment for Bulimia
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-SSRI: Fluoxetine 40-60mg OD
-SNRI: Venlafaxine 75-150mg OD Trazodone - Serotonin agonist 150-500mg daily at bedtime |
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Eating disorders - A good amount of weight to gain back per week would be ___
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1kg/week or 2-3 lbs
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