7 - Eating Disorders Flashcards Preview

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Flashcards in 7 - Eating Disorders Deck (19):
1

Need to assess for _____

malnutrition

2

Rate of weight gain for in hospital patients

0.9-1.4 kg/week

3

Rate of weight gain for outpatients

0.2-0.5 kg/week

4

Pharmacologic choices for anorexia:
Why do we use prokinetic agents?

food restriction and weight loss can lead to gastroparesis (stomach cannot empty itself normally)

5

Pharmacologic choices for anorexia:
List some prokinetic agents used

-domperidone
-metoclopramide

6

Pharmacologic choices for anorexia:
Compare domperidone and metoclopramide

Domperidone is preferred (less EPS than metoclopramide) but metoclopramide has antinauseant effect

7

Pharmacologic choices for anorexia:
If both domperidone and metoclopramide are ineffective, add ______

erythromycin

8

Pharmacologic choices for anorexia:
Prokinetics can cause ?

QT prolongation

9

Pharmacologic choices for anorexia:
Constipation is a problem with weight loss - can use ______ to treat constipation in those with anorexia

prucalopride

*does not cause CV probs or prolong QT interval

10

Pharmacologic choices for anorexia:
Why is zinc gluconate used?

-can increase rate of weight gain
-irrespective of serum zinc measurement
-take with food to decrease nausea

11

Pharmacologic choices for anorexia:
Why is olanzapine used?

-may decrease delusional thinking and anorexic rumination
-may not cause rapid weight gain that it does for ppl of normal weight

12

Pharmacologic choices for anorexia:
For olanzapine, treat until BMI of ____ kg/m^2 (if continued beyond this, may cause rapid increase in appetite and weight gain)

17

13

Pharmacologic choices for anorexia:
______ can also be used for weight gain

cypropheptadine

14

Pharmacologic choices for anorexia:
Need to give _____ x 5 days at beginning of feeding to prevent Wernicke-Korsakoff syndrome (encephalopathy) leading to brain disease, damage or malfunction

thiamine

15

Need to monitor for ______

hypoglycemia

16

If they're taking laxatives, need to slowly ____

taper

17

Be aware of ______ syndrome which causes electrolyte abnormalities

refeeding

18

Pharmacologic choices for bulimia:
What are some options?

-antidepressants can reduce binge-eating by > 50% in 2/3 of patients
-SSRIs, venlafaxine or trazodone

*fluoxetine has most evidence

19

Pharmacologic choices for bulimia:
How long do you treat for?

at least 6 months - 1 year

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