Protocol for Malnourished Patient at Risk for Refeeding Syndrome

Purpose: To feed a malnourished patient and avoid the refeeding syndrome using the protocol outlined by Hearing.

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Evaluation

Do you need to give enteral or parenteral nutrition to a malnourished patient?

Yes

Is the malnutrition sufficient to place the patient at risk for the refeeding syndrome?

Yes

Daily caloric requirements for the patient

Kcal

Have you measured baseline serum levels of phosphate, magnesium, calcium, potassium, urea and creatinine?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Should you start the nutritional support at a fraction of daily needs and watch for phosphate and electrolyte deficiencies?

Caloric intake target for the first day if the refeeding syndrome is possible

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Patients at Risk for Refeeding Syndrome
- NICE Criteria | Patient at High Risk for Refeeding Problems
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Refeeding Syndrome
Criteria For Diagnosis
- Clinical Features of Refeeding Syndrome
Complications
- Complications Refeeding Syndrome and Underlying Mechanisms

Therapy

Options
- Clinical Features of Refeeding Syndrome
Prevention
- Patients at Risk for Refeeding Syndrome

Specialty

Nutrition

Objective

risk factors
options
prevention

ICD-10

E46 - Unspecified protein-energy malnutrition

Info

Purpose: To feed a malnourished patient and avoid the refeeding syndrome using the protocol outlined by Hearing.

Specialty: Nutrition

Objective: risk factors, options, prevention

ICD-10: E46,

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