Select the correct order of events for the refeeding syndrome.
1)water and salt retention
2)patient is treated with excessive glucose
3)fluid overload and stress to heart
4)increased vascular space
5)exaggerated insulin response

Question

Quizplus · Accepted Answer

The refeeding syndrome describes the negative sequelae that can result when patients who have been chronically starved and severely malnourished receive aggressive nutritional support.This syndrome may begin when the starved individual receives more glucose than can be physiologically processed.Under normal conditions, the maximal rate at which glucose can be metabolized is 2 to 4 mg/kg/min.Under stress, this metabolic rate can increase to 3 to 5 mg/kg/min.If these rates are exceeded, an exaggerated insulin response may occur.In addition to its hypoglycemic effect, insulin has strong antidiuretic properties.Thus in an exaggerated insulin response, which can occur if a malnourished patient is treated with excessive glucose, there will be water and salt retention, increasing the vascular space, leading to fluid overload and stress to the heart.

Select the Correct Order of Events for the Refeeding Syndrome