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21 Cards in this Set
- Front
- Back
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What kind of behavior characterizes BN?
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Episodes of binge eating
Inappropriate compensatory behavior to prevent weight gain |
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What characterizes the binging episodes in BN?
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Loss of control
Lots of food |
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How often do BN pts have to binge to be diagnosed?
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At least 2x/week for 3 mo
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What actions do purging type BN pts take?
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Vomiting
Laxative use Diuretic use Enemas |
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What actions do nonpurging type BN pts take?
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Fasting
Excessive exercise |
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What weight % defines AN?
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Less than 85% of expected
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What characterizes AN?
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Refusal to maintain body weight
Intense fear of gaining weight Disturbance in the way the body is experienced Amenorrhea x 3mo |
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What behaviors do restricting type AN pts undertake?
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Severely restrict via dieting, fasting, exercise
NO binge-eating or purging |
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What behaviors do binge-eating/purging type AN pts undertake?
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Binge eating or purging
Usually also restricting |
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What is different between AN/BN diagnoses and most other mental illness diagnosis?
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No impairment or distress is required
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Common comorbidities with AN:
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Depression
Social phobia OCD ODD (in adolescents) |
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Common comorbidities with BN:
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Anxiety
PTSD Substance abuse Mood disorders |
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What two questions are effective in assessing for ED?
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Are you satisfied with your eating patterns?
Do you ever eat in secret? |
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Physical signs of anorexia:
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Weight loss
Hypothermia Bradycardia Hypotension Edema Lanugo Amenorrhea |
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Physical signs related to purging:
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Hypokalemia (muscle weakness, dysrhythmia, conduction abnormalities, hypotension
GI, esophageal, bowel abnormalities Eroded dental enamel Enlarged parotid glands |
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Outcomes for ED patients:
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Restore healthy eating patterns
Normalize nutritional balance |
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Describe refeeding syndrome:
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Food intake leads to excessive insulin secretion and excessing glycolysis
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Renourishment guidelines:
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50-70% caloric intake for 3-5 days
Blood chemistry monitoring Supplement K, Mg, Phosphate |
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What minerals need supplementing during refeeding?
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K
Mg Phosphate |
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What important part of ED treatment is done during admission?
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Signing of a contract
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What medications are used during ED treatment?
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Stool softeners
Benzos Vitamins SSRIs Atypicals |
