1. What is anorexia nervosa?
Answer
individual have a significantly low body wt, fear or gaining wt, or being obese. inability to
recognize severely low body wt
2. what are two types of anorexia nervosa
1. Restrictive
2. Binge eating/purging
3. explain restrictive anorexia nervosa?
Answer
restrictive dieting, excessive exercise, using laxatives/diuretics to reduce calories
4. explain binge/purge anorexia nervosa
Answer
binge eat then use diuretics/laxatives or vomit to expel the food
5. what age group is mostly affected by anorexia? why?
Answer
adolescents (onset age 14-16yrs); stressors associated w/ body development
peer pressure, body image, social media
6. what are the BMI percentages for children and adolescents for anorexia ? what would make
you change the levels of severity?
Answer
mild
,>/= 17
moderate
16-16.99
severe
15-15.99
extreme
<15
*** changes in levels of severity can increase to reflect clinical symptoms such as functional
disability/ need for supervision (going to the bathroom if purging; watching eat meals; monitoring
amount of excerise)
7. What is bulimia?
Answer
1. episodes of binge eating followed by purging (vomiting, laxatives, purgatives or diuretic
abuse) to maintain a specific wt
8. why is bulimia difficult to diagnosis?
Answer
pt will usually maintain a normal wt; can go yrs without displaying symptoms, pt will keep
issue a secrete and try to self tx
9. what should be implemented in the care for pts w/ eating disorders
Answer
-
-***refeeding
(most IMPORTANT INTERVENTION)
food is being introduced slowly starting w/ a low amount of cal that gradually increase up to
3500 qd-wt check at same time qd/qwk
, -BMI monitoring (17 or less) *** to be discharged BMI should be 19-25*** discharged when
reached at least 85% of goal wt
-social support/family therapy recommended
10. what are changes in menses for females w/ eating disorders
Answer
-sign of estrogen depletion
-maybe irregular (if it was regular before disorder) **see if pt is taking anything that would
cause irreg menses such as BC*** menses will return reg after fat restoration
11. what is the first choice medication for tx of eating disorders? name the generic/brand
name, drug class, intended tx, se/contraindications, and pt education ?
Answer
fluoxetine (prozax)
ssri
relieve symptoms of depression, promotes wt restoration may cause drowsiness/ feeling weak
can take up to 4-6 wks to work
12. what are 3 ways that abuse of RX/OTC medications occur
Answer
-taking meds that have been prescribed for someone else
-taking higher quantity than prescribed
-taking for purposes other than prescribed
13. what is the most life threatening symptom of alcohol withdrawal
Answer
seizures
14. what symptoms are associated w/ alcohol withdrawal syndrome? what are the most severe
symptoms
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