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Flashcards in Nutrition Deck (14):
1

BUZZER

Recurrent binge eating episodes, recurrent compensatory behavior to avoid weight gain, and symptoms at least 2 x per week x 3 months refers to what disorder?

Bulimia

2

BONUS

Name 3/5 recurrent compensatory behaviors in bulimia?

1. Induced vomiting
2. Laxative abuse
3. Diuretic abuse
4. Enema abuse
5. Fasting/excessive exercise

3

BONUS

Fluctuations of body weight, constipation, suicidal ideation, weakness, and depression are some symptoms of bulimia. Name 3/5 common physical exam signs of this disorder?

1. Damaged tooth enamel
2. Parotid gland enlargement
3. Broken blood vessels on face
4. Hypotension
5. Bradycardia

4

BUZZER

List 3 abnormalities seen on CMP in a pt with Bulimia?

Hypokalemia
Electrolyte disturbances
INC serum amylase

5

BONUS

What 4 therapies should be included in a plan for recovery in a pt with bulimia (or any eating disorder)?

1. Nutritional rehab
2. Psychotherapy
3. Maintenance program
4. Follow up

6

BUZZER

Name 2 goals of treatment in a pt with bulimia?

1. Weight stabilization
2. Gaining control over the binges

7

BUZZER

Assessing for other additions, triggers for binges, frequency of vomiting, foods eaten during binges, and meal frequency/caloric intake are all items that assess what in regards to bulimia?

Severity of disorder

8

BONUS

List 3 specific nutrients that may be used to treat bulimia or other eating disorder?

1. EFAs
2. Ca, Mg, or other trace minerals (chromium)
3. Multivitamin/Minerals (K, Se, Zn)

9

BUZZER

Refusal to maintain body weight over minimal norm for age and height, fear of gaining weight or becoming fat despite being underweight, disturbed body view, Amenorrhea for at least 3 cycles in postmenarchal women is the DSM V criteria for what disorder?

Anorexia

10

BONUS

List 3 abnormal lab findings would you see in a pt with anorexia?

1. Anemia
2. Leukopenia
3. Hypoalbuminemia
4. Ketonuria
5. INC BUN
6. DEC LH and FSH

11

BUZZER

Food avoidance, ritualistic eating behavior, excessive exercise, and amenorrhea are all what describing what disorder?

Symptoms, Anorexia

12

BUZZER

Assessing amount of weight loss, patient's caloric intake, meal frequency, level of exercise, and menstrual status are all items that assess what in regards to anorexia?

Severity of disorder

13

BUZZER

Name 2 initial goals of treatment in a pt with anorexia?

1. Cessation of weight loss
2. Improve nutritional status

14

BONUS

Name 2 things that should be initially avoided in the treatment in a pt with anorexia?

1. Diet diaries
2. Discussion of calories or weight