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Preventing Refeeding Syndrome in Malnourished Patients

Understand the risks, clinical manifestations, and monitoring of patients susceptible to refeeding syndrome. Learn about the refeeding regime to prevent and treat this critical condition.

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Preventing Refeeding Syndrome in Malnourished Patients

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  1. Refeeding syndrome Christopher Berlin // März 2015

  2. Patient history Patientin (75) 1. Leberzirrhose unklarer Aetiologie, am ehesten NASH, Child B (9 Punkte 11/2014) - portale Hypertension mit Oesophagusvarizen und hypertensiver Gastropathie - St. n. anämisierender oberer GI-Blutung bei Fundusvarizen und Oesophagusvarizen - aszitogene Dekompensation und hepatische Encephalopathie 08/2014 - spontan bakterielle Peritonitis 08/2014 - akute Niereninsuffizienz, am ehesten hepatorenales Syndrom 08/2014 2. Diabetes mellitus Typ 2, insulinpflichtig 3. Arterielle Hypertonie 10/2011 4. Rezidiv Bauchwandhernie bei St. n. VHP-Netzeinlage abdominal bei inkarzierter Nabelhernie Christopher Berlin // März 2015

  3. Refeeding syndrome fluids + electrolytes in malnourishedpatientsreceivingartificialnutrition Christopher Berlin // März 2015

  4. Refeeding syndrome starvation glucagon / fat / protein / lact. decreasedrenalexcretion intracell. mineraldepl. extracellularhomeostasis refeeding insulin glycogen, fat, protein synth. k+, po4-, mg2+,thiamine na+ / waterretention phosphate Christopher Berlin // März 2015

  5. Clinical manifestations hypotension tc AF / VF muscleweakness respiratoryfailure pulmonaryoedema metabolicalkalosis diarrhoea depression Christopher Berlin // März 2015

  6. Risk factors Christopher Berlin // März 2015

  7. Risk factors Christopher Berlin // März 2015

  8. Monitoring patients at risk of RFS Christopher Berlin // März 2015

  9. Refeeding regime at risk for RFS patientatrisk prevention > treatment Christopher Berlin // März 2015

  10. Thank you for your attention Christopher Berlin // März 2015

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