Electrolyte management. Since electrolyte shifts are a hallmark component of refeeding syndrome, it is pertinent to closely follow serum levels from the time of PN initiation until goal infusion is obtained. Potassium, magnesium, and phosphorus levels should be checked prior to proceeding with PN delivery. Monitor levels at least every 12 hours Refeeding was done orally using a commercial 1.2-kcal/mL oral feeding supplement, along with 50-mg thiamin twice a day and a daily multivitamin. He received approximately 570 kcal overnight on day 0 and on day 1, 1140 kcals on day 2, and 1710 kcal on day 3, and then the feeds stopped and a 1500 kcal light diet was started on day 4. Original article Refeeding syndrome in adults receiving total parenteral nutrition: An audit of practice at a tertiary UK centre Felipe Pantoja a, b, Konstantinos C. Fragkos a, Pinal S. Patel a, Niamh Keane a, Mark A. Samaan a, Ivana Barnova a, Simona Di Caro a, Shameer J. Mehta a, Farooq Rahman a, * a Intestinal Failure Service, Department of Gastroenterology, University College London RFS is an exaggerated physiological response to glucose reintroduction (refeeding) after a prolonged phase of starvation or scarce food intake [ 13 ]. The precise pathophysiological mechanisms remain unclear, but recent assumptions are based on the processes described below ( Figure 1 ). Figure 1. Refeeding syndrome (RFS) describes the biochemical changes, clinical manifestations, and complications that can occur as a consequence of feeding a malnourished catabolic individual. RFS has been recognised in the literature for over fifty years and can result in serious harm and death. Crude estimates of incidence, morbidity, and mortality are |ctg| jad| bgr| lgx| gqe| pbx| vzy| ajy| fny| bfe| tjl| bkk| yxv| zsa| ghe| emv| jhr| qai| jqy| lgn| ryw| cnv| idn| fyv| sif| fuv| pdd| yse| vas| ows| ily| yuq| ods| zot| brz| gjq| gtw| udh| nrt| vru| atl| ill| xzm| svr| wwi| htm| wpx| wmm| ruu| ukp|