Eating Disorders Flashcards Preview

Mental Health #3 > Eating Disorders > Flashcards

Flashcards in Eating Disorders Deck (16):
1

Types of Eating Disorders

- Anorexia Nervosa
- Bulimia Nervosa
- Eating disorders not otherwise specified

2

Comorbidities with eating disorders?

- Major depressive episodes and dysthymia.
- Bipolar disorder.
- OCD
- Substance abuse.
- persnonality disorders
- sexual abuse

3

Serotonin activity is decreased in?

low weight individuals with anorexia

4

Cholecystokinin* is present at low levels in.

bulimic persons+

5

Serotonin imbalance can cause?

- changes in appetite, mood and impulse control
- perfectionism
- obsessive compulsiveness
- dysphoric mood

6

abnormally thin or weak, especially because of illness or a lack of food

emaciated

7

Clinical Presentation of Anorexia Nervosa?

-low weight
- amenorrhea
- yellow skin (hypercarotenemia)
- Lanugo and cold extremities
-CV abnormalitites
-Peripheral edema
- impaired renal function (dehydration)
- constipation (dehydration)
- hypokalemia, anemia, pancytopenia (starvation)

8

Clinical Presentation of Bulimia?

- binge eating
- self induced vomiting, laxative or diuretic use after eating
- hx of anorexia nervosa
- depressive s/s
- negative self concept
- increased levels of anxiety and impulsivity
- possible chemical dependency
- possible impulsive stealing

9

S/S of Bulimia?

- normal to low weight
- dental carries or tooth erosion
- parotid swelling
- gastric dilation, rupture
- calluses, scars on hand (Russell's sign)
- peripheral edema
- muscle weakening
- CV abnormalities

10

Criteria for immediate hospitalization of an anorexic patient?

- extreme electrolyte imbalance
- body weight below 75% of ideal

11

A potentially catastrophic treatment complication involving a metabolic alteration in serum electrolytes, vitamin deficiencies and sodium retention.

refeeding syndrome

12

Goals of therapy for eating disorders?

- weight gain
- normalization ofearting habits
- Psychopharmacology:
- SSRIs such as Fluoxetine (Prozac).
- Atypical antipsychotics such as Olanzapine.

13

why are atypical antipsychotics such as Olanapine used to treat eating disorders?

it improves mood and decreases resistance to weight gain

14

Why is fluoxetine used in the treatment of bulimia?

to reduce the number of binge eating and vomiting episodes

15

Why is Sertraline (Zoloft) used in the treatment of Binge eating disorder?

reduces the frequency binges and the overall severity of the illness

16

Binge eating is classified as what type of eating disorder?

eating disorder NOS