Refeeding Syndrome Complications | Medical Algorithm

Are you evaluating a patient with the refeeding syndrome?

Yes

Does the patient have?

• cardiac arrhythmia?

Yes

• congestive heart failure (CHF)?

Yes

• cardiomyopathy?

Yes

• impaired cardiac contractility?

Yes

• altered blood pressure (hypotension or hypertension)?

Yes

• tachycardia?

Yes

• cardiac arrest?

Yes

• digoxin toxicity?

Yes

• sudden death?

Yes

• fluid overload?

Yes

• respiratory failure or ventilator dependency?

Yes

• pulmonary edema?

Yes

• carbon dioxide retention?

Yes

• fits?

Yes

• weakness?

Yes

• paresthesias?

Yes

• altered mental status?

Yes

• paralysis?

Yes

• ataxia?

Yes

• tremor?

Yes

• vertigo?

Yes

• tetany?

Yes

• seizures?

Yes

• Wernicke’s encephalopathy?

Yes

• Korsakoff’s syndrome?

Yes

• osmotic diuresis?

Yes

• prerenal azotemia?

Yes

• decreased ability of the renal tubules to concentrate urine?

Yes

• muscle weakness?

Yes

• myalgia?

Yes

• rhabdomyolysis?

Yes

• insulin resistance?

Yes

• osteomalacia?

Yes

• platelet dysfunction?

Yes

• hemolytic anemia?

Yes

• leukocyte dysfunction?

Yes

• altered red blood cell morphology?

Yes

• anemia (nonhemolytic)?

Yes

• reduced oxygen release from hyperbaric oxygen?

Yes

• metabolic alkalosis?

Yes

• glucose intolerance?

Yes

• hyperglycemia?

Yes

• hypernatremia?

Yes

• ketoacidosis?

Yes

• metabolic acidosis?

Yes

• constipation?

Yes

• paralytic ileus?

Yes

• abdominal pain?

Yes

• diarrhea?

Yes

• anorexia?

Yes

• fatty liver?

Yes

• dehydration?

Yes

• hypotension?

Yes

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Complications Refeeding Syndrome and Underlying Mechanisms

Purpose: To evaluate a patient with refeeding syndrome for complications.