APA Guidelines Bundle

Eating Disorders

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11 Related to nutritional restriction Related to purging Bradycardia or arrhythmias, QTc prolongation Increased P-wave amplitude and duration, increased PR interval, widened QRS complex, QTc prolongation, ST depression, T-wave inversion or flattening, U waves, supraventricular or ventricular tachyarrhythmias Hypokalemia, hyponatremia, hypomagnesemia, hypophosphatemia (especially on refeeding) Hypokalemia, hyponatremia, hypochloremia, hypomagnesemia, hypophosphatemia, metabolic acidosis Hypercholesterolemia Low blood sugar Elevated liver function tests Increased BUN, decreased GFR, decreased Cr because of low lean body mass (normal Cr may indicate azotemia), renal failure (rare) Increased BUN and Cr, renal failure (rare) Urinary specific gravity abnormalities Urinary specific gravity abnormalities, high pH Decreased serum estrogen or serum testosterone; prepubertal patterns of luteinizing hormone, follicle stimulating hormone secretion May be hypoestrogenemic if menstrual irregularities are present Reduced BMD, osteopenia, or osteoporosis in individuals with previous low weight and menstrual irregularity or amenorrhea Reduced BMD, osteopenia or osteoporosis in individuals with previous low weight and menstrual irregularity or amenorrhea Erosion of dental enamel

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