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Surgery Fluid, Electrolyte and Nutrition 9c164a8b

All of the following are true about refeeding syndrome except:

A
Occur with TPN only, not seen in enteral nutrition
B
Associated with increased risk of arrhythmia
C
Occur with rapid & excessive feeding of patients with severe underlying malnutrition
D
Hypophosphatemia & hypomagnesemia requires treatment
High-Yield Explanation
REFEEDING SYNDROME: - Potentially lethal condition - Occurs with rapid & excessive feeding of patients with severe underlying malnutrition due to starvation, alcoholism, delayed nutritional suppo, anorexia nervosa & massive weight loss in obese patients Pathophysiology - With refeeding, shift in metabolism from fat to carbohydrate substrate - Increased insulin release - Cellular uptake of electrolyte paicularly: - Phosphate - Hypophosphatemia - Magnesium - Hypomagnesemia - Potassium- Hypokalemia - Calcium- Hypocalcemia - Increased risk of arrhythmia, confusion, respiratory failure & death due to dyselectrolytemia.

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