Refeeding syndrome

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Background

Mostly an issue with TPN, risk of death.

Pathophysiology

When a severely malnourished patient is given glucose, the following cascade of events takes place:

Clinical Features

Differential Diagnosis

Evaluation

Workup

  • CBC
  • Chemistry
  • Magnesium
  • Phosphorus
  • ECG

Findings

Management

See Also

References

  1. Bhraonain, Sinead, et al. “Chronic malnutrition may in fact be an acute emergency.” The Journal of Emergency Medicine, 2013, Vol 44, issue 1, pages 72-74
  2. Bjelakovic, Goran, et al. “Antioxidant Supplements for prevention of mortality in healthy participants and patients with various diseases.” Sao Paula Med J 2015; 133(2):164-165.

Authors:

Ross Donaldson