What is refeeding syndrome? Is Mr. Page at risk for this syndrome? How can it be prevented?
What will be an ideal response?
• Refeeding syndrome is a term used to describe metabolic changes that occur as a result of repletion of malnourished individuals. Refeeding syndrome occurs after a period of starvation to which the body has adapted by metabolizing fat for energy instead of carbohydrate. When a carbohydrate-rich diet is reintroduced, thiamin, phosphorous, potassium, and magnesium are swiftly removed from the bloodstream into the cells for anabolism.
• This may result in electrolyte imbalances and shifts of fluid balance that accompany these changes. This can lead to heart failure and edema, acidosis, hyperventilation, and neurological dysfunction.
• Mr. Page is at risk due to his malnutrition, metabolic stress, and levels of electrolytes.
• Prevention of refeeding can be prevented by following these steps:
1) Obtain and correct baseline electrolytes (supplement K, Phos, Mg).
2) Initiate nutrition support with caution and at a low and slow rate (e.g., 15-20 kcal/kg or
4) Monitor electrolytes closely (q 12 hr; 2x/day) for at least the first 3-5 days until Mr. Page is stable at his full caloric target.
You might also like to view...
List at least four factors associated with intrauterine growth retardation (IUGR).
What will be an ideal response?
The body's "turnover"of creatine is approximately ____ per day
A) 1 g B) 2 g C) 4 g D) 5 g
An overweight elderly woman with type 2 diabetes visits her health care provider. When asked how her blood sugar control has been, the woman remarks, "Better than ever." What blood test could the health care provider order to verify this?
A. hemoglobin B. hematocrit C. hemoglobin A1C D. blood triglycerides E. random finger stick
In order to prevent further kidney stones, Jasmine should consume how many cups of fluids per day?
a. 8-10 b. 10-12 c. 12-16 d. >18