Exam (elaborations)
NURS 663 Exam 3 with Verified Q&A’S | Latest Update
- Course
- Institution
NURS 663 Exam 3 with Verified Q&A’S | Latest Update
[Show more]
Content preview
NURS 663 Exam 3 with Verified Q&A’S |Latest Update
Binge Eating Disorder
"Binge-Eaters Overeat" - ✔✔B: recurrent Binge episodes (1x/wk x 3 months)
O: Out of control overeating
Plus 3 or more of the following:
1. Eat fast past full
2. Feast when not famished
3. Flushed and flustered and feeling disgusted
Binge-Eating Disorder - ✔✔- A sense of lack of control overeating during the episode
- Occurring AT LEAST 1x per week for 3 MONTHS
- Associated with marked distress
Binge Episodes are Associated with ≥ 3 of the Following: - ✔✔- Eating more rapidly than
usual
- Eating until feeling uncomfortably full
- Eating large amounts of food when not feeling physically hungry
- Eating alone because of feeling embarrassed by how much one is eating
- Feeling disgusted with oneself, depressed or guilty afterwards
(Common for all 5 to be present)
Binge-Eating Disorder
Severity Based on # of Episodes/week - ✔✔Mild: 1-3/wk
Moderate: 4-7/wk
,Severe: 8-13/wk
Extreme: 14+/wk
Binge Eating Disorder
Pharmacological Interventions - ✔✔lisdexamfetamine (Vyvanse): Currently the only FDA
approved medication
Topiramate: Causes cognitive dysfunction when dosed for effectiveness
Anti-obesity agents target appetite and weight, but no the behavior
Naltrexone: "Hit or miss," results
Baclofen: Some evidence it reduces automatic behaviors, it can take high doses; do not abruptly
disrupt due to possible psychosis
Dasotraline: In phase 3 for BED and dual-acting DA and NE reuptake inhibitor, shows promise,
not on the market yet
Binge-Eating Disorder
Conclusion - ✔✔- Most prevalent, often not screened for
- Known as a "shameful secret"
- lisdexamefetamine (Vyvanse) only FDA-approved medication
Bulimia Nervosa and BED
Treatment - ✔✔- Individual therapy, dynamic psychotherapy, behavioral interventions (CBT)
(stay with patient 2-3 hours after they eat to ensure no vomiting)
- Stepped care to facilitate CBT
- SSRIs and CBT: mixed reviews
Bulimia nervosa & BED
Overconcern With Shape and Weight - ✔✔Bulimia nervosa: Overconcern about shape and
weight required for diagnosis
,BED: Not part of the diagnosis criteria, although frequently present
Bulimia Nervosa & BED
Presence of Compensatory Behaviors - ✔✔Bulimia nervosa: Regular compensatory behaviors
BED: No regular compensatory behaviors
Bulimia Nervosa & BED
Behavioral Indicators for Binge Eating - ✔✔Bulimia Nervosa: Not part of diagnostic criteria
BED: Required for diagnosis
Bulimia Nervosa & BED
Distress About Binge Eating - ✔✔Bulimia nervosa: Not part of diagnostic criteria
BED: Marked distress about binge eating
Bulimia Nervosa & BED
Both Include - ✔✔- Loss of control
- Binge eating frequently
- Duration of binge eating: Both require a duration of at least 3 months
Anorexia Nervosa Physical Exam Findings
V/S - ✔✔Bradycardia
Hypotension with marked orthostatic changes
Hypothermia
, Poikilothermia
Anorexia Nervosa Physical Exam Findings
General - ✔✔Muscle atrophy
Loss of body fat
Anorexia Nervosa Physical Exam Findings
CNS - ✔✔Generalized brain atrophy with enlarged ventricles
Decreased cortical mass
Seizures
Abnormal electroencephalogram
Anorexia Nervosa Physical Exam Findings
CV - ✔✔Peripheral (starvation) edema
Decreased cardiac diameter
Narrowed left ventricular wall
Decreased response to exercise demand
Superior mesenteric artery syndrome
Anorexia Nervosa Physical Exam Findings
Renal - ✔✔Prerenal azotemia
Anorexia Nervosa Physical Exam Findings
Hematologic - ✔✔Anemia of starvation
Leukopenia
Hypocellular bone marrow
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now