eating disorders

types of eating disorders

anorexia nervosa

binge eating disorder

bulimia nervosa

anorexia nervosa

fear of gaining weight, inaccurate perceptions about own body weight, trying to lose weight by not eating

DSM5 criteria for anorexia nervosa

restricting intake of food to below what is needed

significant weight loss

malnourishment

fear of weight gain

disorted body image

basing self worth off of body weight or shape

what are the two subtypes of anorexia nervosa

restricting: no periods of binge eating mixed in with starvation

binge eating/purging: periods of binging and purging alongside starvation

what is bulimia syndrome

periods of binging and then purging

DSM5 criteria for bulimia

binge eating followed. by compensatory behavior (a way to get rid of all that was binged)

occurs once a week for 3 months

no anorexia - starving

what is binge eating disorder

they binge food but dont purge it after

symptoms/physical assessment signs of eating disorders

low BP

decreased pulse

decreased temperature (with anorexia)

hypertension (binge eating)

weighs 85% or less of proper weight (anorexia)

overweight (binge eating disorder)

what is russels sign

calluses or scars on hand from self induced vomiting

lab values common with eating disorders

anemia, leukopenia, thrombocytopenia

acid base - values common with eating disorders

acidosis - laxative use to purge

alkalosis - self induced vomiting (not enough acid causing alkalosis due to loss of HCL)

criteria for acute care treatment for anorexia

they’ve lost 20% of their body weight

they have only 10% or less body weight

ECG changes

electrolyte disturbances

HR less than 50, BP systolic less than 90, temp less than 96.8

treatment for eating disorders

dietician/nutritionist consult

therapy

• cognitive behavioral therapy

• cognitive reframing

meds

• anti anxiety meds

• antipsychotic meds

• ssris

• mood stabilizers

• fluoxetine (prozac) for bulimia

complications of eating disorders

re-feeding syndrome

• electrolyte disturbances that can lead to death upon re-feeding someone who has been malnourished

dysrhythmias

bradycardia

hypotension

refeeding disorder symptoms

• muscle weakness

• breathing trouble

• kidney dysfunction

• trouble swallowing

• heart dysrhythmias

• double vision

• seizures

• NV

• hypotension

rumination

symptoms

regurgitating food and then eating it

• burping

• bad breath

• stomach pain

• chapped lips