refeeding syndrome


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refeeding

 [re-fēd´ing]
restoration of normal nutrition after a period of fasting or starvation.
refeeding syndrome moderate to severe electrolyte and fluid shifts occurring during a period of refeeding; hypophosphatemia is common, and heart failure sometimes occurs.

refeeding syndrome

The tendency to develop dangerous illness usually within four days of resuming normal eating after a prolonged period of starvation. Low insulin production during starvation with breakdown of body fat and protein result in loss of intracellular electrolytes, especially phosphate. The shift to a carbohydrate metabolism causes increased insulin production which stimulates cellular uptake of phosphate from the blood. Low serum phosphate depletes ATP and causes rhabdomyolysis, respiratory and heart failure, hypotension, seizures and death. Monitoring of serum phosphate and intravenous phosphate supplementation are required.
References in periodicals archive ?
The treatment of a recognized case of refeeding syndrome should include vitamin replacement, including thiamine and other members of the vitamin B complex.
Refeeding syndrome still needs to be recognized and managed appropriately.
The refeeding syndrome consists of the metabolic disturbances that may be induced by feeding when malnourished patients are refed, whether orally, enterally or parenterally (11).
Nasogastric feeding with Osmolite (Abbott Australasia, Kurnell, NSW) was commenced at a slow rate of 40 ml per hour for 96 hours to reduce the risk of refeeding syndrome, then gradually increased over the next 48 hours to meet estimated nutritional requirements.
Dada, "Refeeding syndrome: a serious and potentially life-threatening complication of severe hyperemesis gravidarum," Journal ofObstetrics & Gynaecology, vol.
Refeeding syndrome is defined as metabolic dysregulation that develops in malnourished patients receiving concentrated calories via total parenteral nutrition [1].
It is frequently associated with refeeding syndrome (3)--which typically occurs in at-risk patients, such as those with poor nutrition--within 12-36 hours of receiving carbohydrates in the hospital.
Refeeding syndrome with enteral nutrition in children: a case report, literature review and clinical guidelines.
Refeeding syndrome: what it is, and how to prevent and treat it.
Shift of magnesium from the extracellular fluid into cells or bone (Refeeding syndrome, Hungry bone syndrome), increased gastrointestinal or renal loss, reduced absorption, and use of a variety of drugs including antibiotics and chemotherapeutics, may cause hypomagnesemia (2).
(ii) Vitamin-B complex supplements to be prescribed for 21 days from the start of feeding to reduce the possibility of Wernicke's encephalopathy [32] as a consequence of refeeding syndrome and hyponatremia.
It covers the basics of nutrition, nutritional requirements for dogs and cats, and different feeding regimens, and this edition has new chapters on birds, small mammals, horses, nutritional calculations, types of pet foods, raw food diets, additives and preservatives, nutrition myths, nutritional support, and assisted feeding, as well as the nutritional management of common diseases like refeeding syndrome, cancer, and gastrointestinal, cardiac, dermatologic, endocrine, and musculoskeletal diseases.