Site icon Epomedicine

Refeeding Syndrome : Mnemonics

Epomedicine
Tweet FB Share Pin It

Risk factors

Mnemonic: ABCD

  1. Alcohol abuse
  2. BMI <18.5 kg/sq.meter
  3. Chemotherapy
  4. Drugs (insulin) and Diuretics
Refeeding Syndrome: Pathogenesis and clinical findings | Calgary Guide (ucalgary.ca) [CC BY NC SA]

Pathophysiology

Mnemonic: PPM

Malnourished (depleted intracellular Phosphate, Potassium, Magnesium) → Refeeding → Increased glucose load → Insulin spikes → Drives PPM into cells → Hypophosphatemia (major abnormality), hypokalemia, hypomagnesemia

Prevention

If patient hasn’t not eaten for >5 days, aim to refeed at <50% energy and protein levels.

Monitor and aggresively supplement PPM.
Exit mobile version