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Z Gerontol Geriatr ; 51(1): 34-40, 2018 Jan.
Article in German | MEDLINE | ID: mdl-28070675

ABSTRACT

The refeeding syndrome is a life-threatening complication that can occur after initiation of a nutrition therapy in malnourished patients. If the risk factors and pathophysiology are known, the refeeding syndrome can effectively be prevented and treated, if recognized early. A slow increase of food intake and the close monitoring of serum electrolyte levels play an important role. Because the refeeding syndrome is not well known and the symptoms may vary extremely, this complication is poorly recognized, especially against the background of geriatric multimorbidity. This overview is intended to increase the awareness of the refeeding syndrome in the risk group of geriatric patients.


Subject(s)
Protein-Energy Malnutrition/diagnosis , Refeeding Syndrome/diagnosis , Adult , Aged , Blood Glucose/metabolism , Catecholamines/blood , Electrolytes/blood , Food Deprivation/physiology , Glucagon/blood , Glycogenolysis/physiology , Humans , Hydrocortisone/blood , Insulin/blood , Middle Aged , Protein-Energy Malnutrition/physiopathology , Protein-Energy Malnutrition/therapy , Refeeding Syndrome/physiopathology , Refeeding Syndrome/therapy , Risk Factors , Trace Elements/blood
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