ANOREXIA AND BULIMIA Flashcards
(22 cards)
a disorder characterized by
refusal to maintain a
minimally normal body
weight
anorexia nervosa
3 features of anorexia
- self-induced starvation
- relentless drive for thinness, morbid fear of fatness
- medical s/sx from starvation
occurs, most often in girls (___%), usually at puberty or
during ___
90%
adolescence
true or false - AN is more common among sisters and daughters of
mothers who also had the disorder
true
characteristics of AN
- severe weight restriction
- excessive exercise
- binge eating / purging
- self-induced vomiting, laxatives, enemas, diuretics
risk factors of AN
genetic susceptibility
environmental stressors (divorce, social pressure, trauma)
assessment of AN
*starved appearance
*delayed psychosexual development
*old as their chronologic age
*dry skin
*amenorrhea
*dehydration
*osteoporosis
*acidosis, dependent edema, hypotension, hypothermia,
bradycardia and the formation of lanugo
refers to recurrent
and episodic binge
eating and purging,
accompanied by an
awareness that the
eating pattern is
abnormal but not
being able to stop
bulimia nervosa
what can commonly be seen in pts with AN
teeth erosion, back of hands are scarred and cut
who is more introverted?
anorexia
who is more impulsive?
bulimia
who has body image distortion?
anorexia
who is considered a model child and is often a high achiever in school?
anorexia
who is often sexually active?
bulimia
lab assessment
- cbc
- UA
- electrolytes
- BUN
- creatinine
- CRP
- bone density
- hcg
lab test for women with prolonged amenorrhea
thyroid function tests
serum prolactin
FSH
therapeutic management for AN
- reversal of malnutrition
- resolution of disturbed patterns of family interaction
- psychotherapy to correct deficits in psychologic functioning
___ is done if the malnutrition is severe
intravenous (TPN) or tube feeding
aimed at helping the young person
resolved the adolescent identity
crisis
psychotherapy
goal is to increase the patient’s
feelings of control and responsibility
toward achieving recovery
behavioral therapy
type of meds - to manage co-occurring anxiety, which is common in people with eating disorders
anxiolytics
Therapeutic Management of BN
*Cognitive-behavioral therapy
*Psychotherapy
*Family-based therapy
*Nutrition counseling
*Pharmacotherapy- Tricyclic antidepressants
and fluoxetine
