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Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... Electrolyte/fluid shifts caused ... changes and may cause ... are the leading cause ... abnormalities persist #Refeeding
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... Beta-Agonist - Refeeding ... Diagnosis #Algorithm #causes
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
with depletion: Refeeding ... Diagnosis #Algorithm #causes
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Recovery From DKA • Refeeding ... endocrinology #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... alkalemia • Refeeding ... Diagnosis #Algorithm #Causes
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... hyperalimentation - Refeeding ... Hypomagnesemia #Causes
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... hyperalimentation, Refeeding ... Hypomagnesemia #Causes
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... reduced GFR • Refeeding ... Differential #Diagnosis #Causes
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations Causes of Thiamine Deficiency: • Poor intake: - Diets
Manifestations Causes ... Hyperthyroidism - Refeeding
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... Patients at Risk of Refeeding ... PO4& Mg prior to feeding ... antacids RAPID REFEEDING ... : Weakness #Refeeding
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