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What is Refeeding Syndrome - Lab values to be monitored are all except and explain in detail?
Ans. (d) AmmoniumRef: Bailey and Love 27th edition Page 288, Surgery Sixer 3rd Edition Page 6Refeeding Syndrome* Characterized by severe fluid and electrolyte shifts in malnourished patients undergoing refeeding.* It can occur with Enteral and Parenteral nutrition (MC with TPN)* Lab values: Hypophosphatemia, Hypocalcemia, Hypomagnesemia(Mneumonic-CPM Low)* Risk factors: Alcohol, Severe malnutrition, Anorexia, Prolonged fasting* Treatment: Avoid Overfeeding* Deliver calories slowly* Electrolyte imbalance needs to corrected