Prevention and Management of Refeeding Syndrome
Abstract: Refeeding Syndrome
is a syndrome which occurs as a result of food administration in poorly
nourished individuals. In this syndrome, there are wide range of biochemical
alterations, clinical manifestations, and complications, starting from mild
(asymptomatic) to severe (death). This syndrome was initially proposed in
1950s; however, there is still no agreement for its clear definition, causing
clinicians to be less aware and tend to overlook this condition. Clinical
manifestations which usually appear include electrolyte imbalances
(hypophosphatemia, hypokalemia, hyponatremia, hypomagnesemia) and vitamin B1
deficiency. The main principle in management of refeeding syndrome is
prevention, where clinicians need to identify this condition in the early stage
in high risk individuals, supervision during refeeding, and administration of
appropriate diet.
Keywords: refeeding syndrome;
electrolyte imbalance; vitamin B1 deficiency
Author: Andika Indrarespati,
Kaka Renaldi
Journal Code: jpkedokterangg160424
