Refeeding syndrome.

Autor: Fernández López MT; Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Ourense, Ourense, España., López Otero MJ, Alvarez Vázquez P, Arias Delgado J, Varela Correa JJ
Jazyk: English; Spanish; Castilian
Zdroj: Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria [Farm Hosp] 2009 Jul-Aug; Vol. 33 (4), pp. 183-93.
Abstrakt: Refeeding syndrome is a complex syndrome that occurs as a result of reintroducing nutrition (oral, enteral or parenteral) to patients who are starved or malnourished. Patients can develop fluid-balance abnormalities, electrolyte disorders (hypophosphataemia, hypokalaemia and hypomagnesaemia), abnormal glucose metabolism and certain vitamin deficiencies. Refeeding syndrome encompasses abnormalities affecting multiple organ systems, including neurological, pulmonary, cardiac, neuromuscular and haematological functions. Pathogenic mechanisms involved in the refeeding syndrome and clinical manifestations have been reviewed. We provide suggestions for the prevention and treatment of refeeding syndrome. The most important steps are to identify patients at risk, reintroduce nutrition cautiously and correct electrolyte and vitamin deficiencies properly.
Databáze: MEDLINE