What is Medical Criteria for Hospital Admissions for Eating Disorders?
Nasal gastric tube for all or supplementation.
What is Refeeding Guidelines for Anorexia?
Goal weight gain/week for eating disorders.
What is 2-3 lbs/week?
Weakness, Russell's sign, hair loss, petechiae, osteopenia, dehydration, hypokalemia/chloremia, hypotension, ECG changes, GI upset, mild cerebral atrophy.
What is Medical Complications for Bulimia & Anorexia?
PRESENT IN BOTH OF THESE
SSRIs, TCAs, appetite suppressants (Lorcaserin & Topiramate), lipid blocking (Orlistat).
What is Medications for Binge Eating Disorder?
CAM therapies for Anorexia.
What is:
Massage, biofeedback, acupuncture, yoga & herbal supplements?
Recurrent episodes of uncontrollable binging, inappropriate compensatory behavior, body image directly influences self image.
What is Bulimia?
Eating non-food options.
What is PICA?
RN acute care goals for anorexia.
What is:
Safety, establishing trust, monitor eating pattern & physical stability?
Intense fear of weight gain, distorted body image, restricted calories, low BMI.
What is Anorexia?
Normalize eating behavior & interrupt binging/purging behaviors.
What is Acute Care Goals for Bulimia Tx?
What is:
Improves mood, decreases OCD & has a S/E of weight gain?
One or more of: BMI <16, weight loss >15% in past 3-6 months, lack of intake for >10 days, low electrolyte levels, substance abuse.
What is Risk for Refeeding Syndrome?
ANOREXIA
Diabetes, heart disease, HTN, gastric disease (GERD, dysphagia, bloating, abd pain, diarrhea, constipation).
What is Complications of Binge Eating Disorder?
Cachexia, lanugo, yellowing of sclera/skin, muscle wasting, myopathy, osteoporosis, fracture risk, low phosphate/magnesium, QT prolongation, neuropathy, poor endocrine/renal/hematological function.
What is Anorexia Medical Complications?
ONLY FOR ANOREXIA
Regurgitation of food, rechewing and then re-swallowing/spitting it out.
What is Rumination Disorder?
Suicidal/self-harm thoughts/behaviors, out of control laxative use, failure to comply with tx, severe depression, psychosis, family crisis.
What is Psychological Criteria for Hospital Admissions for Eating Disorders?
Recurrent episodes of uncontrollable binging, no compensatory behaviors. Episodes produce guilt, disgust, embarrassment & depression.
What is Binge Eating Disorder?
Callus on knuckles from self-induced vomiting.
What is Russell's Sign?
Medication treatment for Bulimia.
What is Antidepressants?
Reason for Fluoxetine (SSRIs) for Anorexia.
What is:
Helps with OCD after stabilization of weight?
What is Health Promotion Goals for Bulimia?