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NTR 604 - MIDTERM EXAM - Refeeding Syndrome, Obesity, Glucose Control Questions and Answers
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NTR 604 - MIDTERM EXAM - Refeeding Syndrome, Obesity, Glucose Control Questions and Answers
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NTR 604 - MIDTERM EXAM - RefeedingSyndrome, Obesity, Glucose Control
Questions and Answers
Refers to the metabolic and functional changes that may occur when malnourished
patients are refed orally, enterally or parenterally. - Answer-refeeding syndrome
two main abnormalities in refeeding syndrome - Answer-fluid balance, glucose
metabolism
3 minerals related pathophysiological features in refeeding syndrome - Answer-
hypophosphatemia
hypomagnesemia
hypokalemia
vitamin deficiency in refeeding syndrome - Answer-thiamin
what is the most serious complication of refeeding syndrome? - Answer-
hypophosphatemia
decrease in ___ and decrease in ____ in starvation yields a relatively low need for
phosphorus resulting in hypophosphatemia (a serious complication in refeeding
syndrome)
when feeding begins in a patient who is starving, how does hypophosphatemia occur? -
Answer-metabolic rate, glucose oxidation
glucose is infused, demand for P increases and exceeds body's ability to mobilize it
from bone
before you start feeding a patient, how can you prevent refeeding syndrome? (2) -
Answer-recognize who is at risk
correct electrolyte abnormalities
how should you feed a patient at risk of refeeding syndrome? - Answer-start feeding at
BEE x .8 or 1000 kcal/day and then gradually increase until goal is reached
obesity and acute illness - what 4 systems can it effect? - Answer-cardiac, immune,
endocrine, pulmonary
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