Refeeding Syndrome.
نویسندگان
چکیده
• Case #1: A 3-month-old infant is directly admitted to the hospital by his pediatrician for failure to thrive. • Case #2: A 16-year-old girl with anorexia nervosa fails outpatient treatment and is referred for emergency department evaluation. Five months ago, the patient’s body mass index (BMI) was 18 and Z-score was -1.05, indicating mild malnutrition. Her current BMI is 14 and Z-score is -3.95, indicating severe malnutrition. (1) • Case #3: A 9-year-old boy with multiple medical problems who is tracheostomyand gastrostomy tube-dependent is referred to the hospital because of a 9-lb weight loss in the last 2 months.
منابع مشابه
Review of the refeeding syndrome.
Refeeding syndrome describes a constellation of metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Patients can develop fluid and electrolyte disorders, especially hypophosphatemia, along with neurologic, pulmonary, cardiac, neuromuscular, and hematologic complications. We reviewed literature on refeeding syndrome an...
متن کاملRefeeding syndrome with enteral nutrition in children: a case report, literature review and clinical guidelines.
Refeeding syndrome is a potentially fatal complication of the nutritional management of severely malnourished patients. The syndrome almost always develops during the early stages of refeeding. It can be associated with a severe derangement in electrolyte and fluid balance, and result in significant morbidity and mortality. It is most often reported in adults receiving total parenteral nutritio...
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BACKGROUND Refeeding syndrome is a potentially life-threatening condition characterised by severe intracellular electrolyte shifts, acute circulatory fluid overload and organ failure. The initial symptoms are non-specific but early clinical features are severely low-serum electrolyte concentrations of potassium, phosphate or magnesium. Risk factors for the syndrome include starvation, chronic a...
متن کاملRefeeding procedures after 43 days of total fasting.
Refeeding syndrome encompasses fluid and electrolyte imbalances and metabolic, intestinal, and cardiorespiratory derangements associated with appreciable morbidity and mortality. Although refeeding syndrome has been well documented in concentration-camp subjects, and more recently during parenteral therapy of critically ill patients, little is known about the importance of refeeding syndrome du...
متن کاملAbnormal Liver Function Tests in an Anorexia Nervosa Patient and an Atypical Manifestation of Refeeding Syndrome
Refeeding syndrome is defined as electrolyte and fluid abnormalities that occur in significantly malnourished patients when they are refed orally, enterally, or parenterally. The principal manifestations include hypophosphatemia, hypokalemia, vitamin deficiencies, volume overload and edema. This can affect multiple organ systems, such as the cardiovascular, pulmonary, or neurological systems, s...
متن کاملRisks and pitfalls for the management of refeeding syndrome in psychiatric patients
Refeeding syndrome can be defined as severe electrolyte and fluid shift associated with metabolic abnormalities in patients with malnutrition undergoing realimentation, whether orally, enterally, or parenterally (Crook et al, 2001). Historically, refeeding syndrome was first described in starving wartime prisoners and victims of famines (Schnitker et al, 1951). More recently this syndrome has b...
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ورودعنوان ژورنال:
- Pediatrics in review
دوره 37 12 شماره
صفحات -
تاریخ انتشار 2016