Nutrition
Refeeding Syndrome
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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
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