Guidelines for refeeding the marasmic patient.
Nutritional support of the malnourished patient can be lifesaving. However, the efficacy of total parenteral nutrition in this setting depends on: a) careful estimation of energy requirements, using the Harris-Benedict equation or indirect calorimetry; b) minimizing the fluid retention which invariably complicates refeeding in marasmus; c) adequate repletion of P, K, and Mg on a daily basis; and d) accurate assessment of the rate of weight regain.
Apovian
C M
CM
New England Deaconess Hospital, Harvard Medical School, Boston, MA 02215.
McMahon
M M
MM
Bistrian
B R
BR
D001481:Basal Metabolism; D002149:Energy Intake; D005110:Extracellular Space / Q000378:metabolism; D005526:Food, Formulated; D006801:Humans; D009751:Nutritional Requirements; D010289:Parenteral Nutrition, Total; D010758:Phosphorus / Q000378:metabolism; D011188:Potassium / Q000378:metabolism; D011502:Protein-Energy Malnutrition / Q000378:metabolism / Q000628:therapy*; D015430:Weight Gain
D010758:Phosphorus; D011188:Potassium