Dr. holemon- Medical Management of ED
•Transferir como PPT, PDF•
1 gostou•741 visualizações
Dr. Holemon, M.D. spoke at the Castlewood Preferred Provider Conference on the medical aspects of the treatment of Eating Disorder.
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (20)
Destaque
Destaque (15)
Semelhante a Dr. holemon- Medical Management of ED
Semelhante a Dr. holemon- Medical Management of ED (20)
Mais de Castlewood Treatment Center
Mais de Castlewood Treatment Center (17)
Último
Último (20)
Dr. holemon- Medical Management of ED
- 1. Medical Management of Eating Disorder Dr. Dawn Holemon
- 2. Diagnostic Assessment • Psychiatric • Anorexia nervosa • Bulimia nervosa • ED, nos • Medical • Risk increased with rapid weight change, purging, onset of binges, non compliance with medication
- 3. AN, BN or ED, nos • Refer for inpatient or residential care Pregnancy Diabetes mellitus Abnormal EKG Deficiencies of potassium, magnesium or phosphorus Suicidal ideation
- 4. EKG
- 6. Associated disorders • Psychiatric Major depression Anxiety disorder Bipolar disorder Alcohol and/or drug dependence or abuse Body dysmorphic disorder
- 7. Laboratory tests commonly indicated in eating disorder Liver enzymes RBC Folate Blood count Magnesium, Serum creatinine, Phosphorus, Amylase, ferritin, vitamin B12 Potassium, Sodium TSH
- 8. Laboratory tests commonly indicated in eating disorder Urinalysis Urine drug screen EKG Bone density
- 9. Medical complications of eating disorder Edema Weakness Shortness of breath Cardiac arrhythmias Chest pain Confusion Loss of consciousness
- 10. Medical complications of eating disorder Refeeding syndrome -imbalance of electrolytes and fluid -risk factors -symptoms to monitor
- 11. Psychotropic medications used to treat eating disorder SSRI Other antidepressant SNRI Trimonoamine TCA modulator MAOI
- 12. Psychotropic medications used to treat eating disorder Mood stabilizers Antipsychotics, 1st generation Antipsychotics, 2nd generation
- 13. Psychotropic medications used to treat eating disorder Anxiolytics, non benzodiazepine Benzodiazepines, short-acting Benzodiazepines, mid-acting Benzodiazepines, long-acting
- 14. Psychotropic medications used to treat eating disorder Insomnia ADHD Dependence, opioid Dependence, nicotine
- 15. Common side effects of medications used to treat eating disorder Lightheadedness Headache Sedation Acid reflux Dry mouth nausea Constipation
- 16. Less common side effects of medication used to treat eating disorder Parasthesia EPSE Weight gain/loss Galactorrhea
- 17. Recent research in neuropsychiatry
Notas do Editor
- Diagnosis of ED; anorexia, bulimia or ED, nos Concurrent psychiatric diagnosis, history of prior treatment, medications, onset of illness Medical; preadmission labs, EKG, bone density; ROS, past medical history, FH Cardiac arrhythmia is the most common medical cause of death in AN
- Chest pain, dysrhythmias, syncope
- Strength of association of substance use disorders varies by diagnosis, strongest in bulimia, weaker in ED of AN, purging type, not significant in AN, restricting Substance use increased suicide risk across the board, all psychiatric diagnoses
- Refeeding at low energy replacement and monitor electrolytes, weight, cardiac status Rapid weight loss and/or profound weight loss; abnormal EKG; low phosphorus levels Symptoms; swelling, SOB, altered mental status
- SNRI examples TCA uses MAOI issues and complications Other antidepressant examples TMM example; deplin or methylfolate as booster