Recognizing and preventing refeeding syndrome.
Refeeding syndrome is an uncommon but potentially fatal phenomenon that can occur in patients receiving parenteral, enteral, or oral feedings after a period of sustained malnutrition or starvation. This syndrome is characterized by hypophosphatemia, hypokalemia, and hypomagnesemia. The purpose of this article was to bring an acute awareness of refeeding syndrome to the critical care nurse. The recognition, pathogenesis, clinical manifestations, potential life threatening complications, and treatment are presented.
Adkins
Susan M
SM
Case Western Reserve University, Ohio, USA. SADKINS@aultman.com
D003422:Critical Care / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control; D007008:Hypokalemia / Q000517:prevention & control; D017674:Hypophosphatemia / Q000517:prevention & control; D015994:Incidence; D008275:Magnesium Deficiency / Q000517:prevention & control; D044342:Malnutrition / Q000628:therapy*; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods / Q000451:nursing; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D015596:Nutrition Assessment; D018529:Nutritional Support / Q000009:adverse effects*; D055677:Refeeding Syndrome / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D013217:Starvation / Q000628:therapy*; D013832:Thiamine Deficiency / Q000517:prevention & control