Quiz on Refeeding Syndrome Guidelines

What is the primary aim of the guidelines for Refeeding Syndrome?

• To promote dietary supplements

• To reduce hospital stays

• To establish a consensus on identification and management

• To provide financial guidance

Who has overall responsibility for the provision of nutrition within East Cheshire NHS Trust?

• Ward Managers

• Dietitians

• Executive Director of Nursing

• Clinical Nutrition Steering Group

What is a significant risk factor for Refeeding Syndrome?

• Regular nutritional intake

• Unintentional weight loss greater than 15% in the last 3-6 months

• BMI less than 25 kg/m²

• High potassium levels

What should be prescribed before starting nutritional support in patients at risk?

• Thiamine

• Calcium

• Vitamin D

• Iron supplements

What is the maximum calorie provision for patients at high risk during the first days of feeding?

• 20 kcals/kg body weight

• 10 kcals/kg body weight

• 5 kcals/kg body weight

• 15 kcals/kg body weight

Which electrolyte levels should be monitored daily during the first ten days of feeding?

• Iron, Zinc, and Copper

• Potassium, Magnesium, and Phosphate

• Vitamin A, D, and E

• Sodium, Calcium, and Chloride

What is the recommended initial dose of Thiamine for patients at risk?

• 150 mg once daily

• 50 mg once daily

• 100 mg twice daily

• 200 mg three times daily

What is a potential consequence of unmanaged Refeeding Syndrome?

• Increased appetite

• Fluid overload leading to cardiac failure

• Weight gain

• Improved cognitive function

Which professional group is responsible for assessing a patient's risk of Refeeding Syndrome?

• Ward Pharmacists

• Biochemists

• Dietitians

• Medical Staff

What should be done if electrolyte levels fall during feeding?

• Switch to parenteral nutrition

• Discontinue feeding immediately

• Continue feeding and correct electrolytes

• Increase feeding rate