CMN 574 Unit 3 Exam with verified detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
ADD/ADHD
3 types:
||\\//||
1: Predominantly inattentive
||\\//|| ||\\//||
2. Predominately hyperactive/impulsive
||\\//|| ||\\//||
3. Combined
||\\//||
Executive Function Impairment with ADD/ADHD ||\\//|| ||\\//|| ||\\//|| ||\\//||
(1) shifting from one mindset or strategy to another (ie, flexibility)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(2) organization (eg, anticipating both needs and problems)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(3) planning (eg, goal setting)
||\\//|| ||\\//|| ||\\//|| ||\\//||
(4) working memory (ie, receiving, storing, then retrieving information within short-term
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
memory)
(5) separating affect from cognition (ie, detaching one's emotions from one's reason)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(6) inhibiting and regulating verbal and motoric action (eg, jumping to conclusions too
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
quickly, difficulty waiting in line in an appropriate fashion).
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Medications interacting with ADHD meds ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticonvulsants
Antihypertensives
Caffeine containing drugs ||\\//|| ||\\//||
Pseudoephedrine
Ephedra
MAOIs
meds metabolized by cytochrome P450 CYP 2D6
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Work up for ADD/ADHD ||\\//|| ||\\//|| ||\\//||
LFT
CBC
periodic drug screen if abuse is suspected ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Anorexia Nervosa - adult dx ||\\//|| ||\\//|| ||\\//|| ||\\//||
BW <15% below expected ||\\//|| ||\\//|| ||\\//||
Disturbance of body image & intense fear of becoming fat ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
In females - absence of 3 consecutive menstrual cycles
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2 types:
||\\//||
1) Restricting calories
||\\//|| ||\\//||
2) binge eating/purging
||\\//|| ||\\//||
*can have combination ||\\//|| ||\\//||
Labs:
thyroid
electrolytes
LFTs
cholesteral
UA
EKG
bone density ||\\//||
Osteoporesis common s/e in females with amenorrhea ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anorexia Nervosa Signs & Symptoms ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypothyroid - brittle nails, thinnig hair, dry skin ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Low body temp ||\\//|| ||\\//||
Bradycardia (supine) ||\\//||
Orthostasis
Hypotension 2nd to impaired cardiac function ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
prolonged QTc syndrome ||\\//|| ||\\//||
at risk for cardiac arrhytmias
||\\//|| ||\\//|| ||\\//|| ||\\//||
, impaired peripheral circulation ||\\//|| ||\\//||
Lanugo (sign of starvation) ||\\//|| ||\\//|| ||\\//||
Inability to intake normal quantity of food in GI tract - early satiety, bloating, delayed gastric
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
emptying, constipation ||\\//||
Bulimia Nervosa ||\\//||
Eating disorder characterized by binging and purging
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Labs:
LFT
Amylase (chronic parotid stimulation) ||\\//|| ||\\//|| ||\\//||
BMP - electrolytes
||\\//|| ||\\//||
Individuals may use alternative methods: ||\\//|| ||\\//|| ||\\//|| ||\\//||
using medicines ||\\//||
diuretics
diet pills
||\\//||
cathartics
supplements to promote wt loss ||\\//|| ||\\//|| ||\\//|| ||\\//||
Binge eating and inappropriate compensatory behaviors occur at least once per week x 3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
months
Bulimia Nervosa Treatment ||\\//|| ||\\//||
Psychotherapy - 3-9 months ||\\//|| ||\\//|| ||\\//||
inpatient/outpatient
Meds:
SSRI
anti-reflux medication ||\\//||
heat & suck tart candy for parotid gland
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Binge eating disorder (BED)
||\\//|| ||\\//|| ||\\//||
Eating disorder characterized by recurrent episodes of consuming large amounts of food
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
during which the person feels a lack of control over eating.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
ADD/ADHD
3 types:
||\\//||
1: Predominantly inattentive
||\\//|| ||\\//||
2. Predominately hyperactive/impulsive
||\\//|| ||\\//||
3. Combined
||\\//||
Executive Function Impairment with ADD/ADHD ||\\//|| ||\\//|| ||\\//|| ||\\//||
(1) shifting from one mindset or strategy to another (ie, flexibility)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(2) organization (eg, anticipating both needs and problems)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(3) planning (eg, goal setting)
||\\//|| ||\\//|| ||\\//|| ||\\//||
(4) working memory (ie, receiving, storing, then retrieving information within short-term
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
memory)
(5) separating affect from cognition (ie, detaching one's emotions from one's reason)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(6) inhibiting and regulating verbal and motoric action (eg, jumping to conclusions too
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
quickly, difficulty waiting in line in an appropriate fashion).
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Medications interacting with ADHD meds ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticonvulsants
Antihypertensives
Caffeine containing drugs ||\\//|| ||\\//||
Pseudoephedrine
Ephedra
MAOIs
meds metabolized by cytochrome P450 CYP 2D6
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Work up for ADD/ADHD ||\\//|| ||\\//|| ||\\//||
LFT
CBC
periodic drug screen if abuse is suspected ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Anorexia Nervosa - adult dx ||\\//|| ||\\//|| ||\\//|| ||\\//||
BW <15% below expected ||\\//|| ||\\//|| ||\\//||
Disturbance of body image & intense fear of becoming fat ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
In females - absence of 3 consecutive menstrual cycles
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2 types:
||\\//||
1) Restricting calories
||\\//|| ||\\//||
2) binge eating/purging
||\\//|| ||\\//||
*can have combination ||\\//|| ||\\//||
Labs:
thyroid
electrolytes
LFTs
cholesteral
UA
EKG
bone density ||\\//||
Osteoporesis common s/e in females with amenorrhea ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anorexia Nervosa Signs & Symptoms ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypothyroid - brittle nails, thinnig hair, dry skin ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Low body temp ||\\//|| ||\\//||
Bradycardia (supine) ||\\//||
Orthostasis
Hypotension 2nd to impaired cardiac function ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
prolonged QTc syndrome ||\\//|| ||\\//||
at risk for cardiac arrhytmias
||\\//|| ||\\//|| ||\\//|| ||\\//||
, impaired peripheral circulation ||\\//|| ||\\//||
Lanugo (sign of starvation) ||\\//|| ||\\//|| ||\\//||
Inability to intake normal quantity of food in GI tract - early satiety, bloating, delayed gastric
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
emptying, constipation ||\\//||
Bulimia Nervosa ||\\//||
Eating disorder characterized by binging and purging
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Labs:
LFT
Amylase (chronic parotid stimulation) ||\\//|| ||\\//|| ||\\//||
BMP - electrolytes
||\\//|| ||\\//||
Individuals may use alternative methods: ||\\//|| ||\\//|| ||\\//|| ||\\//||
using medicines ||\\//||
diuretics
diet pills
||\\//||
cathartics
supplements to promote wt loss ||\\//|| ||\\//|| ||\\//|| ||\\//||
Binge eating and inappropriate compensatory behaviors occur at least once per week x 3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
months
Bulimia Nervosa Treatment ||\\//|| ||\\//||
Psychotherapy - 3-9 months ||\\//|| ||\\//|| ||\\//||
inpatient/outpatient
Meds:
SSRI
anti-reflux medication ||\\//||
heat & suck tart candy for parotid gland
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Binge eating disorder (BED)
||\\//|| ||\\//|| ||\\//||
Eating disorder characterized by recurrent episodes of consuming large amounts of food
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
during which the person feels a lack of control over eating.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
