Dr. holemon- Medical Management of ED
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Transcript of Dr. holemon- Medical Management of ED
Medical Management of Eating Disorder
Dr. Dawn Holemon
Diagnostic Assessment
• Psychiatric
• Medical
• Anorexia nervosa• Bulimia nervosa• ED, nos
• Risk increased with rapid weight change, purging, onset of binges, non compliance with medication
AN, BN or ED, nos
• Refer for inpatient or residential care Pregnancy Diabetes mellitus Abnormal EKG Deficiencies of potassium, magnesium or phosphorus Suicidal ideation
EKG
Associated disorders
• MedicalPANDASPCOS
Associated disorders
• PsychiatricMajor depressionAnxiety disorderBipolar disorderAlcohol and/or drug dependence or abuseBody dysmorphic disorder
Laboratory tests commonly indicated in eating disorder
Liver enzymesBlood countSerum creatinine,
ferritin, vitamin B12
RBC FolateMagnesium,
Phosphorus, Amylase, Potassium, Sodium
TSH
Laboratory tests commonly indicated in eating disorder
UrinalysisUrine drug screenEKGBone density
Medical complications of eating disorder
EdemaWeaknessShortness of breathCardiac arrhythmiasChest painConfusionLoss of consciousness
Medical complications of eating disorder
Refeeding syndrome
-imbalance of electrolytes and fluid -risk factors -symptoms to monitor
Psychotropic medications used to treat eating disorder
SSRISNRITCAMAOI
Other antidepressantTrimonoamine
modulator
Psychotropic medications used to treat eating disorder
Mood stabilizersAntipsychotics, 1st generationAntipsychotics, 2nd generation
Psychotropic medications used to treat eating disorder
Anxiolytics, non benzodiazepineBenzodiazepines, short-actingBenzodiazepines, mid-actingBenzodiazepines, long-acting
Psychotropic medications used to treat eating disorder
InsomniaADHDDependence, opioidDependence, nicotine
Common side effects of medications used to treat eating disorder
LightheadednessSedationDry mouthConstipation
HeadacheAcid refluxnausea
Less common side effects of medication used to treat eating
disorder
ParasthesiaEPSEWeight gain/lossGalactorrhea
Recent research in neuropsychiatry