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33 Cards in this Set

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