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33 Cards in this Set
- Front
- Back
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dichotomous thought process
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all or nothing thinking
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Serotonin and eating d/o
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Too little: causes binging on carbs to raise.
Too high: starvation to ease anxiety. *Binging and starving can lead to 5-HT imbalances that can lead to depression/anxiety...known s/e of malnutrition and vitamin deficiencies |
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Physiological findings w/ anorexia
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hypotn, hypothermia R/T hypovolemia, bradycardia R/T starvation
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Rate of binging and purging
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at least twice a week for three months
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Physical findings w/ bulimia
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poor dentition, esophageal abrasions, gastric dilation, parotid swelling (chipmunk face)
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Medical Complications for ALL eating DO
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CNS: fatigue, seizures, weakness, thermoreg. problems.
Renal: hematuria, proteinurea, renal calculi Hemotologic: anemia, leukopenia, thrombocytopenia GI: diarrhea Metabolic: acidosis, dehydration, hypokalemia, hypomagnesemia, hypocalcemia, bradycardia Endocrine: amenorrhea, decr. luteinizing hormone, FSH, and TH CV: bradycardia, dysrhythmia, ortho, ventr. enlargement |
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S/E of hypokalemia
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GI disturbances, cardiac arrhythmias, fatigue
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Binge eating rate
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At least two days a week for six months
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Tx for anorexia
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1. Restoring weight loss
2. Treating psychological disturbances 3. Achieve long-term remission and rehab |
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Assessing children
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Preschool: play and art therapy
School-age: board games to casually ask questions Teens: card game-may be defensive and angry |
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Depression in <1 y/o
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AKA failure to thrive
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Filial therapy
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Used to teach parents play therapy techniques to increase parent/child bond
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Drug therapy w/ peds w/ MDD
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Prozac only one FDA approved. Children metabolize meds quickly so same or even higher dose is needed
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Problems w/ antidepressants in peds
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Can increase suicidal thoughts and behaviors, Serotonin syndrome
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ultradean cycles
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More frequent mood cycles
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BPD in peds
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Onset can be as young as 4 y/o. Cause unknown.
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Tx. for pediatric BPD
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Cognitive-behavioral therapy, play and family therapy, depakote (monitor liver), Tegretol, Topamax, Lithium (12+ b/c narrow therapeutic range)
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ADHD and dop
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Pts. have less dopamine, Ritalin increases dop
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Conduct do
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Repetitive, persistent violation of rules, aggression to people, animals, property, lying, theft, and serious violation of school and parent rules
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Oppositional defiant do
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Recurrent pattern of disobedience, hostile, but w/o physical aggression, destructive behavior, or serious rule violation. Dx w/ this first, then CD
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Aggressive behavior tx
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Tegretol, antipsychotics, propranalol, and Li
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Tourette's
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onset b/w 2-13 y/o, tx w/ atypical antipsychotics and SSRIs, psychoeducation, self-monitoring, and teaching parents
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PANDAS
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Theory that GABHS causes Tourettes and OCD...abys attack basal ganglia
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Falls
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Caused by lack of muscle reserve (muscles that keep balance-if you don't use it you lose it)
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Benadryl and geriatrics
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Too much anticholinergic leads to psychosis
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Pick's dz
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Atrophy of frontal and temporal lobes, can't learn new info, begin forgetting things.
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Creutzfeldt-Jakob dz
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slow virus, slow onset, muscle jerking, aphasia, difficulty walking
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Namenda
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helps correct glutamate activity->less neurologic loss->slows s/s of AD
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Aggression
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verbal statements that are intended to threaten
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Violence
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A physical act of force intended to cause harm to a person or an object
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Cognitive neuroassociation model
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Advers event triggers primitive response. Limbic system mediates response
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Neurostructural model
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Emotional circuit, kindling theory
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Neurochemical model
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low 5HT, low tryptophan
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