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REVIEW ARTICLE: REPUBLICATION
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 55-58

Refeeding syndrome


Department of Surgery, University of North Dakota, School of Medicine and Health Sciences, Grand Forks; OPUS 12 Foundation, North Dakota, USA

Correspondence Address:
Sangeetha Prabhakaran
Department of Surgery, University of North Dakota, School of Medicine and Health Sciences, Room 5108, 501 North Columbia Road Stop 9037, Grand Forks, North Dakota 58203
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJAM.IJAM_9_17

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Refeeding syndrome (RFS) is a clinical entity occurring in severely malnourished individuals, usually after initiation or reinitiation of definitive nutritional support. The clinical presentation is varied, and a high index of suspicion is required for diagnosis. The following case illustrates this condition: An 80-year-old male patient is admitted to the intensive care unit with delirium, dehydration and malnutrition. The patient is treated with intravenous fluids for volume repletion, and acute electrolyte abnormalities are being corrected. He responds well to this initial management. On hospital day #2, he is started on nasoenteric tube feeds providing approximately 1750 kcal/day. On hospital day #3, the patient begins to experience progressive shortness of breath, muscle weakness and peripheral edema. He then develops cardiac arrhythmia and electrolyte panel shows hypophosphatemia, hypomagnesemia, and hypokalemia. A diagnosis of RFS is made, and the patient is managed with correction of electrolyte abnormalities and continued provision of adequate caloric intake. The following core competencies are addressed in this article: Medical knowledge, Patient care. Republished with permission from: Prabhakaran S. Absite corner: Refeeding syndrome. OPUS 12 Scientist 2010;4(1):3-5.


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