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Just found this!
http://ocw.tufts.edu/Content/60/lecturenotes/799016

And this:
Quote:
4.6.1. Refeeding syndrome

Severe electrolyte and fluid shifts associated with metabolic abnormalities in malnourished patients undergoing “refeeding”, whether orally, parenterally, or enterally. Phosphorus, potassium, and magnesium shift to intracellular space leading to sudden drops in serum levels.

  • Clinical signs are varied, including neurologic dysfunction and cardiac arrhythmias
  • Do not offer emaciated animals (TS < 1.0) whole food initially
  • Always rehydrate animal first
  • Give B vitamins
  • Give oral electrolytes first
  • Tubefeed formula low in carbohydrates, high in fat with adequate protein
  • If the patient is digesting the formula, move gradually on to easily digestible solid food
-Kathy
 
Quote:
Refeeding
syndrome Electrolyte
disturbance that may be seen with malnutrition, starvation, or prolonged diuresis. Reintroduction of nutrition leads to a rapid shift of ions from serum to the intracellular space depleting potassium, phosphorus, magnesium, or calcium stores. Avoid refeeding syndrome by introducing food cautiously, monitoring clinical status and electrolytes closely, and supplementing the diet as needed.

-Kathy
 

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