refeeding article Flashcards
minor risk factors?
BMI <18.5, unintentional wt loss >10% past 3-6 months, little/no nutr intake for >5 days, hx alcohol/drugs
major risk factors?
BMI <16, unintentional wt loss >15% past 3-6 months, little/no nutr intake for >10d, low baseline lvl K/P/Mg
specific pt populations to assess risk:
chronic severe dieting, hunger strike, hx bariatric surgery, SBS, tumour, frail elderly
low risk is ____, high risk is ____
1 minor risk factor; 1 major or 2 minor risk factors
what is very high risk?
BMI <14, wt loss >20%, starvation >15d
if low risk, provide energy as ___kcal/kg/d, if high risk ___kcal/kg/d
15-25; 10-15
if very high risk, provide ___kcal/kg/d
5-10
restrict Na intake in ____ risk refeeding
high and very high
diagnose if shift in electrolytes within 72h show:
decrease of P from baseline >30% or <0.6mmol/L, or any other 2 electrolyte shifts below normal
if see electrolyte shifts but no clinical symptoms, call this ____ RFS
imminent
if shift in electrolyte and also clinical symptoms, call this ___ RFS
manifest
in low risk, bring to goal rate by day ___, if high risk by day ___, and if very high by day ___
4; 6; 10
RFS is ___ reaction caused by nutr therapy and associated with ____ resulting from metabolic changes and fluid imbalance
anabolic; serum electrolyte shifts and clinical symptoms
RFS first described in ____
prisoners liberated from concentration camps
why not include anorexia nervosa?
believed to have diff pathophysio perspective
