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Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... abnormalities before refeeding ... • Slow initial feeding ... initiation of feeding ... abnormalities persist #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
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... leading into a lung ... infarction, mets to the lung ... .2016.12.033 #Feeding ... Vessel #Sign #CT #Lung
Pathogenesis and features of the refeeding syndrome.
#Pathophys #Nutrition #RefeedingSyndrome
features of the refeeding
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
stop or reduce long ... Optimize Nutrition — feeding ... Diuresis — Dry lungs ... are happy lungs
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lung Segment Anatomy ... Chest CT Right Lung ... Posterior Left Lung ... Lung: • Upper ... lang=us #Lung #
CT Lung Signs in Pulmonary Diseases - One Page Summary of Pulmonary Signs
 - Air Crescent
CT Lung Signs in ... angiogram sign - Feeding ... #ChestCT #CT #Lung
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
know that the lungs ... relatively spared lung ... size of a baby’s lungs ... hence the “Baby Lung ... that in ARDS, lung
Effect of PEEP on Lung Recruitment - Bag-Mask Ventilation - Cadaver Simulation
Simulation shows before and after
Effect of PEEP on Lung ... PEEP has on the lungs ... ventilation induced lung ... JustinKrantzFPC #PEEP #Lungs
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
nodules and a feeding ... something like a feeding ... densities iin the left lung ... cavitation in the right lung