Refeeding Syndrome

Question 1

When does this occur?

Answer 1

In pts. who are malnourished after nutrition is initiated (from a starvation state)

Question 2

What happens during this?

Answer 2

Electrolytes escape from cells into serum

Question 3

What is main symptom?

Answer 3

Hypphosphatemia

Question 4

Patient is starved from nutrition, body breaks down what instead of what for energy ?

Answer 4

Body breaks down fat and protein instead of carbs for energy

Question 5

Insulin secreation decreases with starvation process but with refeeding, is it resumed?

Answer 5

Yes

Question 6

Occurs with what kind of nutrition?

Answer 6

Parenteral

Question 7

Hallmark symptom?

Answer 7

Hyphophosphatemia

Question 8

Abnormal?

Answer 8

Sodium and fluid balance

Question 9

Changes in what?

Answer 9

Glucose, protein, and fat metabolism

Question 10

What deficiency?

Answer 10

Thiamine

Question 11

Hypo or hyperkalemia?

Answer 11

HYPOkalemia

Question 12

Hypo or hypermagnesemia?

Answer 12

HYPOmagnesaemia

Question 13

Prevention?

Answer 13

Do nutritional assessment within first 24 hours of admission –quickly assess and therapy can prevent refeeding syndrome

Question 14

Nursing interventions should be implemented before pt. is in ___

Answer 14

Starvation state