Psych
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| cx | negative sel-esteem /genetics: hypothalamus malfunction/ improper Dopamine levels/ Cultural
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| types | 1. Anorexia nervosa 2. Bulimia 3. morbid obesity
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| Anorexia nervosa | aversion to food a desire to avoid food refuse to eat
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| Symptoms | excessive wt loss (> 25% baseline wt) refusal to maintain a normal wt excessive exercise distorted view of body obssesive thoughts shy and introverted amenorrhea (absence of period) sleep only 2-3 h
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| Bulimia nervosa | eat up to 8,000 cal in a hour but vomit afterwards and abuse laxatives and diuretics
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| what is the main difference between anorexia and bulimia? | "binge eating" obsession w/ food = bulimia not eating / obsession w/ diet and exercise = anorexia
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| what does vomiting cx in bulic pts? | trauma to back of throat/ enemal of teeth (gone)/ hoarsiness of voice / sense of loss of control
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| what kind of people are bulimics? | impulsive/ low self-esteem
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| Morbid obesity | > 100 lbs above the ideal wt
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| when are fat cell numbers stabilished? | number of fat cells estabilished at birth
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| what other dz are associated with morbid obesity? | MI, DM 2, osteoarthritis increased risk of cancer, gallblader, and HTN , edema , dehydration
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| tx | Bariatric Surgery
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| meds | Zanax /BuSpar/ Serax (alcohol detox)
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| caution for antidepressants | teens r/t suicidal thoughts
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| What are eating disorders? | disorders of body image
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| Eating disorder affect more ____ in the age group of _____ | women 12-30
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| what theory states that eating disorders originate in childhood (ineffective parent emotional nurture)? | psychological theory
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| how does the lack of nurturing by parents affect the child? | he/she develop a maladaptive response to not being worthy of love. this feeling is caried out through adulthood and self detructive actions are taken to validate the "unworthy of love" theory
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| women who develop anorexia usually have ______ feelings towards their _____ | negative feelings towards their mothers
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| what defense mechanism is activated during an eating disorder crises? | regression
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| what does the Biologic theory say the cx of eating disorders are? | 1. women have more fat than men (pregnancy) 2. disfunction in the hypothalamous functioning 3. disturbance in Dopamine
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| what is the cx of obesity according to the Behavorist theory? | culture. Food is pleasure or a reminder of pleasure in sad times
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| Anorexia nervosa | aversion of food. pt refuses to eat - as early as 8 years old
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| S/S of anorexia | excessive exercise - excessive dieting (diet can be cut down to 200 cal/day or even less)- perfectionism - obession - sleep little - distorted body image -
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| Bulimia nervosa | binge eating (up to 8,000 cal/day) followed by forced vomiting
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| S/S of bulimia | excessive exercise - abuse of laxatives and diuretics - obsession w/ eating - thoughts of suicide - sensitive to body coments- eroding teeth and enemal
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| what monitoring is needed for bulimic pts? | electrolytes
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| MOrbid Obesity | > 100 lbs
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| other dz that can cx morbid obesity if not controled | DM and Hypothyroidism
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| according to the psychoanalitic theory, what phse of development is the obese pt stuck in? | the oralphase (oral gratification)
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| medical complications of eating disorders | 1. electrolyte imbalances 2. cardiac irregularities 3. edema and dehydration 4. GI problems
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| what vitamine will post op bariatrics have to take for the rest of their lives? | B12
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