Refeeding Syndrome - Diagnosis and Management
Electrolyte/fluid ...
276
Description

Refeeding Syndrome - Diagnosis and Management

Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient, can be fatal

 • Risk Factors: poor/minimal intake for >7 days, significant weight loss, history of excessive alcohol intake, malnutrition due to chronic disease/malabsorptive conditions, anorexia nervosa, persistent N/V/D

 • Characterized by:

     o Early: hypo-Phos, hypo-K, hypo-Mg2+, vitamin deficiency (thiamine)

     o Late: cardiac damage (CHF), respiratory failure (volume overload)

     o Other symptoms: N/V, diarrhea, tremors, paresthesias

 • Prevention and management: Treat electrolyte abnormalities before refeeding, slow initial feeding, close monitoring of labs (Phos, K, Mg2+), Q8-Q12h and tele over first 24 hrs. Aggressive repletion of electrolytes (IV preferred). Replete thiamine prior to initiating feeding; stop feeding if electrolyte abnormalities persist.



#Refeeding #Syndrome #Diagnosis #Management
Contributed by

MGH White Book Manual
@MGHWhiteBook
Account created for the MGH Internal Medicine Housestaff Manual "White Book" - https://stk10.github.io/MGH-Docs/WhiteBook-2019-2020.pdf
Medical jobs
view all

0 Comments

Related content