Eating Disorders

what are the characterizations of eating disorders

disordered eating patterns

distress

disparagement

preoccupation

distorted perception of one’s body shape

eating too little

anorexia

eating chaotically

bulimia

eating too much

binge eating

restricting subtype

binge eating and purging subtype

anorexia nervosa

what are the related eating disorders

night eating syndrome

pica and rumination

purging disorder

characterized by a voluntary refusal to eat and typically a weight less than 85% of what is considered normal for height and age

distorted body image, view their emaciated bodies as fat

Anorexia nervosa

what are the two major types of anorexia nervosa

restricting

binge eating and purging

dieting and exercising with no binge eating or misuse of laxatives, diuretics, or enemas

restricting

binge eating and misuse of laxatives, diuretics, or enemas

binging and purging

what medications are used to treat anorexia nervosa

amitriptyline,

cyproheptadine,

olanzapine,

fluoxetine

what are some physical findings of anorexia nervosa

low BMI

amenorrhea

russells sign

ECG changes

scarring or calluses on the dorsum of the hand, secondary to self-induced vomiting

russells sign

behavioral plan of positive and negative reinforcements for weight gain

refeeding

characterized by episodic, uncontrolled, rapid ingesting of large quantities of food, combined with inappropriate ways of stopping weight gain

bulimia nervosa

patients with bulimia may develop

dental cavities (from frequent exposure to stomach acid due to vomiting).

what medications help to treat bulimia nervosa

antidepressants

what are purging comprensatory behaviors

vomiting

use of laxatives, diuretics or emetics

what are nonpurging compensatory behaviors

fasting

overexercising

bulimia nuervosa doesnt experience

severe weight loss

amenorrhea

most patients with bulimia are within a

normal weight range

bulimia nervosa is more prevalent than

anorexia nervosa

what medications can be used in the treatment of bulimia nervosa

SSRIs

Selective serotonin reuptake inhibitor (SSRI) FDA-approved for use in treating patients with bulimia nervosa

fluoxetine hydrochloride (prozac)

what is the usual dose of fluoxetine

60mg

what is the boxed warning for fluoxetine

increased risk of SI thoughts and behaviors

What is the patient education for fluoxetine

takes 4 weeks to work

can cause insomnia (take in morning)

could cause drowsiness/dizziness

eat small frequent meals to avoid side effects like nausea.

recurrent episodes of binge eating with lack of control, not associated with compensatory behaviors

binge eating disorder

what eating disorder can lead to obesity

binge eating disorder

frequent purging without binging

purging disorder

eats after awakening from sleep or consumes an excessive amount of food after the evening meal

night eating syndrome

characterized by a BMI of

17 or lower

what is the normal BMI range

20-24.9

what is central to the etiology of eating disorders

issues of control

patients suffering from eating disorders need to feel what in their treatment

theyre in control