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Psychiatric Nursing
Disorders - Psych
Eating Disorders
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Created by
Irene Aguado
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Cards (26)
Eating disorder is caused by a
decrease
of the neurotransmitter Serotonin and Norepinephrine
Adolescent
Female
- most common demographic of Eating Disorders
Overprotective
parents - most common psychodynamic cause of Eating Disorders
Anorexia vs Bulimia
Anorexia
- more life-threatening
Anorexia vs Bulimia
Bulimia
- ulcer, erosion of enamel, rectal bleeding, hypokalemia as complications
Anorexia vs Bulimia
Bulimia
- normal body weight
Anorexia vs Bulimia
Bulimia
- recurrent binge-eating, guilt, then purging
Anorexia vs Bulimia
Anorexia
- intense fear of gaining weight, food intake restriction, distorted body image, <15% of ideal body weight
In anorexia, distract the client by inviting them to
walk
if there is compulsive exercising
Bulimia is diagnosed when there is purging
once a week
for 3 months
Anorexia vs Bulimia
Anorexia
alopecia, anemia, lanugo as complications
Russel’s sign
is the pathognomonic of bulimia; calluses on the knuckles or back of the hand
Binge-eating
disorder similar with bulimia but no purging
Electrolyte imbalance
priority nursing diagnosis for eating disorders i.e. bulimia
Body Image Disturbance
body nursing diagnosis for eating disorders
NOT Altered Body Image
To prevent purging in bulimia, accompany patient to the
bathroom
SSRI
- medical management of Eating Disorders i.e. flouxetine (Prozac)
Anorexia - intense fear of gaining weight, food intake restriction, distorted body image, <
15
% of ideal body weight
Bulimia is diagnosed when there is purging once a week for
3
months
Bulimia - ulcer, erosion of enamel, rectal bleeding,
hypo
- kalemia as complications
In anorexia, the patient
does not
recognize the problem
For them, it is normal
Anorexia vs. Bulimia
Anorexia
- amenorrhea
Anorexia vs. Bulimia
Anorexia
- hypothermia, hypotension, bradycardia
Anorexia vs. Bulimia
Anorexia
- dry skin, fine downy body hair (lanugo)
Anorexia vs. Bulimia
Bulimia
- enlarged parotid gland
Anorexia vs. Bulimia
Bulimia -
Mallory Weiss Tears
(small tears in the esophageal mucosa caused by forceful vomiting