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Refeeding guidelines for children and young people with feeding and eating disorders admitted to the Mildred Creak Unit at Great Ormond Street Hospital Children and young people who meet red or amber criteria on the Junior MARSIPAN risk assessment framework should be monitored for re-feeding syndrome using
Refeeding syndrome risk (NICE). One or more of the following: • BMI less than 16 kg/m2. • unintentional weight loss greater than. 15% within the last 3-6 months. • little or no nutritional intake for more than 10 days. • Very low levels of potassium, phosphate or magnesium prior to feeding. NICE Guidelines for Nutrition.

Box 2 Patients at high risk of refeeding syndrome. 1 3 4. Patients with anorexia nervosa. Patients with chronic alcoholism. Oncology patients. Postoperative patients. Elderly patients (comorbidities, decreased physiological reserve) Patients with uncontrolled diabetes mellitus (electrolyte depletion, diuresis)
21 Jul 2015 These include: Acute thiamine deficiency resulting in Wernicke's encephalopathy and Korsakoff syndrome, with the potential for permanent cognitive impairment (loss of short term memory.) Hypophosphataemia, hypokalaemia and hypomagnesaemia. Fluid overload resulting in cardiac failure.
4. Prevention and Treatment. 14. 4.1 Overview of prevention and treatment. 4.2 Identification of patients at risk of refeeding syndrome. 4.3 Nutritional screening. 4.4 Initial management and monitoring of patients at risk. 4.5 Electrlolye repletion. 4.6 Implementation of guidelines. 5. Developing an Improved Model of Care. 17.
To identify patients at risk for refeeding syndrome; To list the mechanisms involved in the pathogenesis of refeeding syndrome; To list measures to be taken for the prevention or treatment of refeeding syndrome. Definition. Refeeding syndrome is defined as a derangements in serum electrolytes (phosphate, potassium,
3 Nov 2012 Refeeding syndrome: Identification of those at risk –. Decision Tree. 1. Who is at risk? Establish BMI, degree of unintentional weight loss in the last 3-6 months, period of little or no Patient is at risk of refeeding syndrome: refer immediately to the dietitian recommendations, and monitoring. November
21 Jun 2013 Guideline: Refeeding Syndrome: Prevention and Management - SCH. This document reflects . Table 2: Electrolyte/Vitamin supplementation in children at risk of refeeding syndrome .. 7. Table 3: . risk is in the first 4 days after feeding is re-started but refeeding syndrome may develop up to. 2 weeks after
Refeeding Syndrome Guidelines. Valid from: Mar 12 to Mar 15. Page 1 of 9. Intranet location: Clinical Subjects – Nutrition and Dietetics. Subject: Guidelines for the Management of Refeeding Syndrome. Version 3. Objective: To identify patients at risk of Refeeding Syndrome and treat safely in all the wards of UHA. Prepared
     

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