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Refeeding Syndrome
Aka: Refeeding Syndrome
- See Also
- Specialized Nutrition Support
- Enteral Nutrition
- Total Parenteral Nutrition
- Pathophysiology
- Occurs in severely malnourished patients who undergo aggressive administration of Specialized Nutrition Support
- Rapid reintroduction of large amounts of carbohydrate
- Metabolism shifted to anabolic from catabolic
- Insulin released
- Cells uptake potassium, phosphate, Magnesium, and water
- Results in severe electrolyte abnormalities
- Hypophosphatemia
- Hypokalemia
- Hypomagnesemia
- Prevention
- Start refeeding at one third or less of nutritional needs and gradually increase every 5-7 days
- Administer Thiamine 100 mg IV daily for first week of Specialized Nutritional Support
- Prognosis
- Life threatening complication if not recognized