Q) What should be done to prevent refeeding syndrome in a 70yr old on TPN?
#Aiims 2022, # General Surgery, Nutrition
a) Infuse amino acids and lipids separately
b) Slowly increase calorie
c) Avoid lipid TPN
d) Slow infusion of TPN
Refeeding syndrome - results in hypophosphataemia, hypocalcaemia and hypomagnesaemia. Patients at risk include those with alcohol dependency, those suffering severe malnutrition, Treatment involves matching intakes with requirements and assiduously avoiding overfeeding. Calorie delivery should be increased slowly and vitamins administered Hypophosphataemia and hypomagnesaemia require treatment. Ref Bailey page 288
anorexics and those who have undergone prolonged periods of fasting.
regularly.
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