A full adolescent psychosocial history is useful to engage the young person, to assess the level of risk, as well as identifying protective or resilient factors and provide information that will aid the formulation of effective interventions. The HEADS acronym may be helpful in this regard, although questions must always be tailored to stage of development and the right of the young person to not answer should be respected.
Refeeding syndrome occurs in response to reintroduction of nutrition (whether enterally or parenterally) in the malnourished patient.
Rapid electrolyte and fluid Intracellular shifts in response to the surge of insulin brought on by the presence of nutrients which can lead to numerous medical complications and may progress to life-threatening outcomes, including Coma heart failure, and sudden death.
The hallmark biochemical feature of refeeding syndrome is hypophosphatemia. However, the syndrome is complex and may also feature abnormal sodium and fluid balance; changes in glucose, protein, and fat metabolism; thiamine deficiency; hypokalaemia; and hypomagnesaemia.
Pathogenesis (Howdoes refeeding syndrome develop?)
Clinical Signs and Symptoms of Refeeding Syndrome
