Thoery II

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Thoery II
2011-04-11 17:37:35
Chapter sixty

week thirteen
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  1. What type of eating disorder is characterized by the aversion to eating resulting in less than minimal body weight? The aversion to eating may be lifethreatening?
    anorexia nervosa
  2. Which type of eating disorder involves self-imposed starvation that results from an obsessive desire to be thin and a marked fear of gaining weight? Perceptual disturbances relative to body image are present?
    anorexia nervosa
  3. true or false. There is an increased incidence of major depression or a family history of major depressino or bipolar disorder in anorectic individuals
  4. true or false. frequently the person with anorexia nervosa is a high achiever and highly motivated scholastically, but may be socially isolated and withdrawn.
  5. What are the 2 types of eating anorexia nervosa?
    • restricting type: doesn't binge or purge
    • binge-eating/purging type: (bulimarexia) regularaly engates in binge eating or purging behavior
  6. List 6 signs and symptoms of anorexia nervosa.
    • emaciation
    • preoccupation with foods
    • hyperactivity
    • excessive exercising
    • abuse: in throat from purging
    • sking, nails: thin frail
  7. List 4 medical complications with anorexia nervosa.
    • malnutrition and dehydration
    • vital signs: low pulse rate, hypotension, decreased respiratory rate, low body temp
    • metabolic changes: GI, cardiovascular, hematologic, and renal disorders
    • amenorrhea
  8. What are 3 oral implications of anorexia nervosa?
    • xerostomia
    • caries
    • perimylosis: noted of bulimia
  9. What are 4 appointment interventions for the anorexia nervosa pt?
    • non-threatening demeanor
    • assess nutritional status: dietary assessment
    • vital signs: record
    • introduce a preventive program
  10. Which type of eating disorder is a psychiatric compulsive disorder marked by recurrent episodes of uncontrollable binge eating?
    bulimia nervosa
  11. What are the 2 types of bulimia nervosa?
    • purging type: regularly engages in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
    • nonpurging type: uses inappropriate compensatory behaviors such as fasting or excessive exercise, but does not engage in self-induced vomiting etc
  12. true or false. The individual with bulimia nervosa tends to be socially extroverted and more outgoing in contrast to the person with anorexia. the pt is well aware that the eating habits are abnormal
  13. What are 4 signs and symptoms of bulimia nervosa?
    • Alternate normal eating and fasting
    • they have normal body weight or slightly overweight
    • food consumed during a binge: include cariogenic items with a high caloric content, a sweet taste, and texture that allows rapid eating
    • family history: of drug and/or alcohol abuse is not uncommon
  14. What are 6 medical implications with the pt with bulimia nervosa?
    • dehydration
    • electrolyte imbalance
    • protein malnutrition
    • cardiac arrhythmia
    • abuse: of self meds, laxatives and diuretics which contribute to GI disturbances
    • amenorrhea: when they have a history of anorxia nervosa
  15. What are 3 ways to medically treat bulimia nervosa?
    • cognitive behavioral therapy: tx of choice
    • modifying perception: tx focuses on modifying dysfunctional beliefs about body shape and weight
    • Antidepressants: have been effective in reducing binge eating and purging
  16. What are 9 oral findings in the pt with bulimia nervosa?
    • perimylolysis: chemical erosion of tooth by acid from regurgitation of stomach contents
    • restorations: appear raised because of erosion of enamel around margins
    • caries: demineralization results from pH change in saliva
    • saliva: decrease in quantity and quality
    • xerostomia: body fluids lost from vomiting and diuretics; also a side effect of antidepressant meds
    • trauma: soft palate, pharyngeal trauma, callous formation
    • parotid gland: enlargment for 2-6 days after a binge; degree of enlargement increases with vomiting
    • bruxism: tooth wear related to stress
    • taste: impairment
  17. What are 6 apointment interventions to be made for the pt with bulimia nervosa?
    • prevention of perimylosis: reduce cariogenic food; improve self care
    • Don't brush after vomiting: it may abrade the demineralized areas
    • fluoride: therapy to reduce dental hypersensitivity and build resistance of teeth to acid
    • xerostomia prevention: sugar-free gum or mints, saliva subs w/fl2
    • hypersensitivity: sugar and acid free products, use fl2 tooth paste and rinse, varnish and gel tray to ease the sensitivity