Transcription of Refeeding Syndrome Guideline
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Refeeding Syndrome Guideline
Refeeding Syndrome Guideline Definition: Refeeding Syndrome (RFS) encompasses the clinical complications that occur as a result of fluid and electrolyte shifts during nutrition repletion of malnourished patients. During starvation, intracellular electrolytes become depleted from fat and protein catabolism . Upon Refeeding insulin secretion stimulates intracellular glucose and electrolyte uptake leading to: - Derangement of serum electrolytes (PO4, Mg, K) - Vitamin deficiencies (Thiamine, B12, folate) - Sodium and fluid retention RFS can be life-threatening leading to complications such as cardiac failure, arrhythmia, delirium and seizures. Assessment: The most important point is to recognise patients who are potentially at risk.
During starvation, intracellular electrolytes become depleted from fat and protein catabolism. Upon refeeding insulin secretion stimulates intracellular glucose and electrolyte uptake leading to: - Derangement of serum electrolytes (PO4, Mg, K) - Vitamin deficiencies (Thiamine, B12, folate) - Sodium and fluid retention
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