Eating DOs Flashcards

1
Q

PICA is ___mo+

A

1

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2
Q

Rumination lasts ___mo+ according to the DSM-V

A

1

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3
Q

Avoidant/Restrictive Food Intake DO vs Anorexia Nervosa

A

Avoidant/restrictive is bc they have a LOW appetite or they CANNOT eat, not bc they want to lose wt (anorexia)

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4
Q

Anorexia Nervosa lasts ___mo+

A

3

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5
Q

Bulemia Nervosa timeframe Dx

A

1xWk for 3mo+

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6
Q

Binge-eating DO time frame

A

2Hr period - 1xWk for 3mo+

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7
Q

Pharm Tx for PICA

A

NO MEDS SPECIFICALLY FOR PICA

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8
Q

1 Tx for Rumination DO

A

Diaphragmatic Breathing

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9
Q

Rumination DO Pharm Tx if you fail Behavioral Therapy

A

+/- Baclofen (muscle relaxer)
Refractory -> Buspirone (Buspar)

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10
Q

Avoidant/Restrictive Food Intake DO Tx

A
  • Personal meal plan, Dietician
  • Therapy (speech, OT, CBT)
  • Nutritional support
  • Tx underlying ET
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11
Q

Anorexia Nervosa Tx if rapid wt loss or below 75% of recommended WT

A
  • Give 30-40 kcal/kg/day
  • Wt gain up to 1.5kg/wk (inpt) or 0.5kg/wk (outpt)
  • Calcium 1200-1500 mg/day
  • Vit D 600-800 IU/day
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12
Q

Anorexia Tx:
Give ____kcal/kg/day

A

30-40

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13
Q

Anorexia Tx wt gain up to:
inpt = ____kg/wk
outpt = ___kg/wk

A

inpt = 1.5kg/wk
outpt = 0.5kg/wk

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14
Q

Anorexia Tx:
Calcium ____ mg/day

A

1200-1500

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15
Q

Anorexia Tx:
Vit D _____ IU/day

A

600-800

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16
Q

Anorexia Pharm Tx if FAILED Nutritional support/therapy

A
  • 2GA -> Olanzapine (Zyprexa)
  • Anxiolytics (anxiety confronting meal)

AVOID BUPROPION (WELLBUTRIN) -> CAN CAUSE SEIZURES

17
Q

Bulimia Pharm Tx

A
  1. SSRI - FLUOXETINE (PROZAC)
  2. Other SSRI
  3. TCA, Trazodone, MAOIs, Topiramate

AVOID BUPROPION (WELLBUTRIN) -> CAN CAUSE SEIZURES

18
Q

Binge-eating Tx if declines Psychotherapy

A
  1. SSRI x2 (2 tries)
  2. Antiepileptic (Topiramate) or ADHD Rx
19
Q

Binge-eating Tx if Marked Wt Problems

A
  • Lisdexamfetamine (Vyvanse)
  • Topiramate (Antiepileptic)
  • Zonisamide (Zonegran) - Anticonvulsant

ANY