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exam 4 > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

5 kinds of eating

A

anorexia, bulimia binge and purge, healthy, binge, obesity

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2
Q

anorexia nervosa diagnostic criteria

A

restriction of energy intake leading to significantly low body weight, intense fear of gaining weight or becoming fat

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3
Q

demographics of anorexia nervosa

A

more diagnosed in females (3:1), ~0.9% prevalence

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4
Q

common comorbidities of anorexia nervosa

A

depression, OCD, suicidal ideation

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5
Q

those with _____ are more likely to be affected by anorexia nervosa

A

1st degree relatives

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6
Q

there are two types of anorexia nervosa

A

restricting type and binge-eating/purging type

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7
Q

what is restricting anorexia

A

weight loss accomplished by dieting, fasting, or excessive exercise

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8
Q

what is binge-eating/purging type of AN

A

individual has engaged in recurrent episodes of self-induced vomiting or the misuse of laxatives, diuretics, or enemas

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9
Q

what BMI is considered AN

A

18.5

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10
Q

What BMI is considered severe AN

A

less than 15

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11
Q

Consequences of AN (12)

A
  1. slow heart rate
  2. low BP
  3. decreased bone density
  4. weakness
  5. electrolyte imbalance (hypoglycemia)
  6. dry skin
  7. hair loss
  8. severe dehydration
  9. down layer of hair all over body (lanugo)
  10. cold intolerance
  11. delayed gastric emptying
  12. constipation
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12
Q

what are the treatment focuses of inpatient vs outpatient AN care

A

inpatient is treatment of acute risks and outpatient is treatment of chronic symptoms and relapse prevention

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13
Q

suicidality, psychosis, severe electrolyte imbalances, and cardiac irregularities are ____ focuses of inpatient care

A

acute

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14
Q

what is the goal weight increase per week of inpatient AN care

A

2-3 lbs

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15
Q

what is the goal weight increase per week of outpatient care

A

0.5-1lb/week

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16
Q

what is re-feeding syndrome

A

the shift from fat metabolism to glucose metabolism, rapid glucose metabolism and increased insulin secretion

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17
Q

what are the 3 results of re-feeding syndrome

A

hypokalemia, water retention, and severe edema

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18
Q

Re-feeding may cause what (SEVERE)

A

multiple organ failure

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19
Q

What does CCI stand for in AN treatment

A

concern, correct, increase

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20
Q

what is the concern phase of AN treatment

A

concern of re-feeding syndrome with initial treatment

21
Q

what is the correct phase of AN treatment

A

correct electrolytes, fluid deficits, thiamine, vitamin b complex, and other multivitamin supplements

22
Q

what is the increase phase of AN treatment

A

increase calories slowly (as low as 300-700 kcal/day

23
Q

In addition to physical feeding therapy, what other treatments should be considered for anorexia nervosa

A

CBT for best outcomes and psychotherapy

24
Q

What drug therapy is FDA approved for anorexia nervosa

A

none

25
Q

olanzapine can be used for AN to do what

A

modest weight gain

26
Q

Are SSRIs helpful for anorexia nervosa

A

little benefit for core symptoms

27
Q

what medication is contraindicated in anorexia nervosa

A

bupropion

28
Q

what is binge eating

A

recurrent episodes of binge eating at least once a week for 3 months, not associated with inappropriate compensatory behavior (purging)

29
Q

how many calories count as a binge

A

average of 3,500, some can eat 6,000-10,000 in one episode

30
Q

demographics of binge eating disorder

A

more common in females but less skewed than anorexia nervosa, tends to run in families

31
Q

common co-morbid conditions with binge eating disorder

A

depression, anxiety, borderline personality disorder, and substance use disorder

32
Q

Mild BED episode number

A

1-3

33
Q

Moderate BED episode number

A

4-7

34
Q

severe BED episode number

A

8-13

35
Q

extreme BED episode number

A

over 14

36
Q

Health consequences of binge eating disorder (5)

A

hypertension, elevated cholesterol, CVD, T2DM, gallbladder disease

37
Q

What therapy combination provides the best outcomes for patients with binge eating disorder

A

CBT + Medication

38
Q

what drug is approved for the treatment of moderate to severe binge eating disorder

A

lisdexamfetamine (vyvanse)

39
Q

Bulimia Nervosa demographics

A

more diagnosed in females, similar ratio to anorexia nervosa

40
Q

what history increases the risk for bulimia nervosa

A

anxiety as a child, HX of sexual for physical abuse, childhood obesity, early pubertal maturation

41
Q

what is bulimia nervosa

A

recurrent episodes of binge eating with recurrent inappropriate compensatory behaviors to prevent weight gain that occurs at least once a week for 3 months

42
Q

Bulimia Nervosa methods of purging (5)

A

vomiting, laxatives, diuretics, excessive exercise, diabulimia

43
Q

what is diabulimia

A

pts with diabetes give themselves less insulin than they need or stop taking insulin to promote weight loss

44
Q

outward bulimia nervosa signs of purging may include

A

teeth, lips, eyes, hands

45
Q

consequences of bulimia nervosa

A

digestive tract consequences, amenorrhea, orthostatic hypotension, bradycardia, arrhythmias, osteopenia, osteoporosis

46
Q

what treatment combination provides the best outcomes for patients with bulimia nervosa

A

CBT + medication

47
Q

what medication is FDA approved for bulimia nervosa

A

fluoxetine

48
Q
A

exam 4 (7 decks)

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