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1. Female Athlete Triad: health concern for active women and girls who are driven to excel in sports.
It involves three distinct and
interrelated conditions:
1. disordered eating (a range of poor nutritional behaviors)
2. amenorrhea (irregular or absent menstrual periods) and
3. osteoporosis
2. Diabulimia: Deliberate insulin underuse in people with Type 1 diabetes for the purposes of weight loss
3. Orthorexia: Orthorexia nervosa is not currently recognized as a clinical diagnosis in the DSM-5, but many
people struggle with symptoms associated with this term.
Those who have an "unhealthy obsession" with otherwise healthy eating may be suffering from "orthorexia nervosa,"
a term which literally means "fixation on righteous eating." Orthorexia starts out as an innocent attempt to eat more
healthfully, but orthorexics become fixated on food quality and purity.
4. Rumination Disorder: the regurgitation of recently eaten food into the mouth followed by either rechew-
ing, reswallowing, or spitting it out
5. Pica: an abnormal craving or appetite for nonfood substances, such as dirt, paint, or clay that lasts for at least 1
month
6. Maudsley Model: Eating Disorder tx, effective for teens.
Family Based therapy that is an intensive outpatient refeeding program w/ parents playing active and positive role in
helping child restore weight to normal levels
7. Refeeding syndrome: a syndrome consisting of metabolic disturbances that occur as a result of reinstitu-
tion of nutrition to patients who are starved, severely malnourished
-can be fatal if note recognized. If potassium, phosphate, and magnesium are low this should be corrected
-usually occurs within first 4 days of refeeding
leads to: confusion, coma, convulsions, and cardiac failure
8. Renourishment: process of avoiding refeeding syndrome.
9. Medication for Bulimia: Fluoxetine has shown best efficacy in tx bulimia. However other SSRIs like
sertraline are also appropriate options
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, NU 665 Exam 1
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10. Medications for binge eating disorder: Topamax
Naltrexone
Vyvanse
11. Medication options for Obsessive thoughts (r/t eating disorders): Zyprexa (low
body weight)
Risperdal
Seroquel
Abilify
12. Meds for intrusive thoughts/anxiety, especially before meals (r/t eating dis-
orders): Gabapentin
Vistaril
Benzos (not long term but can help before meals)
Risperdal, zyprexa
13. 4 C's of Addiction: Control
Cravings
Consequences
Compulsive Use
14. Caffeine toxicity: hypertension, tachycardia, seizures, cardiac arrhythmias, death
15. Caffeine Withdrawal: headache, fatigue, irritability, anxiety, depression, craving, muscle pain
16. Nicotine Withdrawal: craving, tension, irritability, difficulty concentrating, insomnia, daytime drowsiness,
increased appetite, weight gain, decreased HR and BP
17. Important consideration with nicotine use disorder: Nicotine is a potent CYP450 Inducer.
18. Antipsychotics impacted by nicotine use: smoking induces CYP450 which means more rapid
metabolization of certain SGAs. If someone is a smoker or is quitting smoking, this is an important consideration for
dosing.
SGAs impacted:
Olanzapine
Clozapine
Asenapine
19. Wernicke's encephalopathy: -Thiamine deficiency seen with alcohol use disorder
-Medical Emergency (untreated has 20% mortality rate)
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