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Mental Health-MJ > T3-Blueprint: Eating disorders > Flashcards

T3-Blueprint: Eating disorders Flashcards

1
Q

Morbid fear of obesity; grossly distorted body image; preoccupation with food; obsession with food

A

Anorexia

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2
Q

The distortion in body image by a client diagnosed with anorexia nervosa is manifested by what?

A

Thoughts that they are fat when they are obviously underweight or even emaciated

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3
Q

Diagnostics of anorexia?

A
  • Restriction of energy intake
  • Intense fear of gaining weight or becoming fat
  • Disturbance in the way in which one’s body weight or shape is experienced
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4
Q

Anorexia pts look ___

A

Emaciated

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5
Q

Anorexia: hypothermia or hyperthermia

A

Hypothermia

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6
Q

Anorexia: Bradycardia or tachycardia?

A

Bradycardia

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7
Q

Anorexia: Hypotension or hypertension?

A

Hypotension

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8
Q

Why do anorexia patients have edema?

A

Lack protein

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9
Q

Describe hair of anorexia.

A

Lanugo; dry, brittle hair

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10
Q

What happens to menses cycle in anorexia?

A

Amenorrhea

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11
Q

What color skin of anorexia?

A

Yellow skin (liver dysfunction)

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12
Q

Anorexia: Diarrhea or constipation?

A

Constipation

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13
Q

What kind of heart problems of anorexia?

A

HF bc muscle wasting all over the body, including the heart

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14
Q

What are labs like with anorexia pts?

A
  • Electrolyte imbalance
  • Anemic
  • Blood issues
  • Low K (dysrhythmias)
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15
Q

What are some drugs for anorexia?

A
  • Fluoxetine
  • Clopipramine
  • Cyproheptadie (appetite stimulate and antipsychotic)
  • Olanzapine
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16
Q

Episodic, uncontrolled, compulsive, rapid ingestion of large quantities of food over a short period of time, followed by inappropriate compensatory behaviors to red the body of excess calories

A

Bulimia nervosa

17
Q

What are 2 diagnostics of bulimia nervosa?

A
  1. Recurrent episodes of binge eating

2. Recurrent inappropriate compensatory behaviors

18
Q

Bulimia: What is an episode of binge eating characterized by?

A
  1. Eating, in a discrete period of time, an amount of food that is definitely larger than what most individuals would eat during a similar period of time and under similar circumstances
  2. A sense of lack of control over eating during the episode (can’t stop eating or control what or how much they are eating)
19
Q

Bulimia: Binge eating and recurrent inappropriate compensatory behaviors both occur, on average, at least _____

A

Once a week for 3 months

20
Q

What is more prevalent: anorexia nervosa or bulimia nervosa?

A

Bulimia nervosa

21
Q

What is weight like in bulimia patients?

A

Normal to slightly low

22
Q

Why do bulimia patients have dental erosion?

A

Due to acid from vomiting

23
Q

Why do bulimia patients have parotid edema?

A

Due to food particles getting stuck in the parotid glands from purging–chipmunk like cheeks

24
Q

Why do bulimia patients have calluses on hands?

A

From sticking fingers down throat to induce vomiting

25
Q

Bulimia patients have parotid edema. What other edema do they have?

A

Peripheral edema

26
Q

What electrolytes are low with bulimia?

A

Na and K

27
Q

What is the heart like in a bulimia pt?

A

Cardiomyopathy
ECG changes
CF

28
Q

What are some meds for bulimia?

A
  1. SSRI: Fluoxetine
    Other
  2. Antidepressants=
    - Imipramine
    - Desipramine
    - Amitriptyline
    - Nortroptyline
    - Phenelzineu
  3. Anticonvulsant: Toprimate
29
Q

Why is the SSRI fluoxetine help with bulimia? How high would dose be?

A

60 mg/day (3x usual dose)

May decrese the craving for carbs, thereby decreasing the incidence of binge eating, which is often associated with consumption large amounts of carbs

30
Q

An eating disorder that can lead to obesity

A

Binge eating disorder

31
Q

What is the difference between binge eating disorders and bulimia nervosa?

A

BED binges on food but does not engage in behaviors to rid the body of excess calories like bulimia patients do

32
Q

What is obesity defined as in terms of BMI?

A

30 or greater

33
Q

Obesity is not defined as a psychiatric disorder in DSM-5, but may be considered under what?

A

“Psychological factors affecting medical conditions”

34
Q

What are predisposing factors to obesity?

A

Genetics

Physiological factors

35
Q

What are the physiological factors that may cause obesity?

A
  1. Hypothyrodism (interfere with metabolism)
  2. Decreased insulin production in diabetes
  3. Increased cortisone producing of Cushing’s Disease
  4. Low levels of serotonin may play a role in compulsive eating
  5. Lifestyle: sedentary
36
Q

What are the physiological effects of obesity?

A
  • HTN and hyperlipidemia
  • Hyperglycemia
  • Osteoarthritis
  • Angina
  • Resp. insufficiency
37
Q

What are drugs for BED?

A

Anticonvulsant: Toprimate= long term treatment of BED with obesity

38
Q

What are the drugs for obesity?

A
  1. Fluoxetine (may decrease craving of carbs)
  2. Sympathomimetic because of their anorexia-inducing effects (limited due to tolerance and high abuse potential)
  3. Sibutramine: only for ones who have a lot of weight to lose
  4. Lorcaserin: suppresses appetite
  5. Phentermine: CNS stimulant that suppress appetites
  6. Topiramate: Anticonvulsant–has weight loss side effects
39
Q

What are 6 nursing diagnosis r/t eating disorders?

A
  1. Imbalanced nutrition: less than body requirements
  2. Deficient fluid volume
  3. Ineffective denial
  4. Imbalanced nutrition: more than body requirements
  5. Disturbed body image/low self-esteem
  6. Anxiety (mod-severe)

Mental Health-MJ (39 decks)

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