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REVIEW ARTICLE
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 10-11

Refeeding syndrome – Intensive care


Professor, Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Afzal Azim
Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_46_19

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Refeeding syndrome is a life-threatening condition resulting from over-rapid or unbalanced nutrition support given to malnourished patients. It usually occurs within 4 days of starting to feed. With starvation, levels of glucose begin to fall within 24–72 h. There is a resultant loss of body fat and protein and an accompanying depletion of potassium, phosphate, and magnesium.The reintroduction of nutrition to a starved or fasted individual results in a rapid decline in both gluconeogenesis and anaerobic metabolisms. The principle is to gradually step up the calories intake over a period of 3–5 days and at the same time keep a watch on electrolytes and continue with thiamine supplementation.


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