Anorexia
intense fear of gaining weight and BMI <17.
What is anorexia nervosa?
recurrent eating and binging, fear of not being able to stop eating
what is bulimia?
eating until pain, discomfort, interrupts sleep/social
what is binging?
vomiting too much leads to
what is metabolic alkalosis?
antihistamine used to increase appetite in anorexia
what is cyproheptadine?
thin hairs seen on a starving patient
What is lanugo?
use of diuretics, enemas, vomiting, and excessive exercise
what are methods of purging used by bulimics?
binge eating involves this emotion afterwards
what is embarrassment or shame?
delayed gastric emptying, constipation, abdominal pain
what are some GI complications of anorexia?
prozac, imipramine(tofranil), amitriptyline(elavil), aventyl, -ines
what is the treatment for bulimia?
to maintain at least 80% of expected body weight
dental caries, guilt, depression, normal weight
what are signs and symptoms of bulimia?
weight status trend in binge eating
what is overweight/obesity?
obesity, hypertension, hyperlipidemia, sleep apnea
what does binging lead to?
olanzapine(zyprexa)
what meds helps with weight gain in anorexia?
distorted body image, obsessed with food, refuse to eat, lanugo, peripheral edema, orthostatic changes, fragile bones, acrocyanosis, amenorrhea, anxiety, depression
what are the signs and symptoms of anorexia nervosa
physical signs on fingers from self-induced vomiting
what are russell's signs?
long term complication
what is type 2 diabetes or hypertension?
using to much laxatives, decrease serum bicarbonate
what causes metabolic acidosis?
increases seizure risk in clients who purge bc of electrolyte imbalances
why not use bupropion?
malnutrition, dehydration, low potasssium, magnesium, phosphate, ST segments and T wave changes, bradycardia, hypotension, hypothermia, high pulse, suicidal
What are the assessment findings for anorexia nervosa?
females, low self-esteem, bullying, weight teasing, athletes, low serotonin
what are risk factors of bulimia?
unlike bulimia, there is NO _______.
what is compensatory behavior?
most life threatening complication of anorexia
what is cardiac arrest?
MAOI sometimes used in bulimia (dangerous interactions)
what is phenelzine?