Significant discrepancy (>700 calories) was noted between nurse-estimated caloric intake compared to digital images. Start thiamine prophylactically (e.g., thiamine 100-200 mg IV q12-q24hr). WebRefeeding syndrome consists of metabolic changes that occur on the reintroduction of nutrition to in those who are malnourished or in the starved state (Figure 1). However, this will be the first systematic review on the use of NG feeding specifically in YP with ED. There are a number of limitations to the conclusions that can be drawn from this review. Nurs Stand. There are clear risk factors for refeeding syndrome. Studies identified 1) a wide range of refeeding regimes depending on country, settings, and the reason for initiation; 2) standard practice is to introduce Nasogastric feeds (NG) if medically unstable or oral intake alone is inadequate; 3) NG may enable greater initial weight gain due to increased caloric intake; 4) there are 3 main types of feeding regime: continuous, nocturnal and bolus; 5) complications included nasal irritation, epistaxis, electrolyte disturbance, distress and tube removal; 6) where NG is routinely implemented to increase total calorie intake, length of stay in hospital may be reduced; however where NG is implemented in correlation to severity of symptoms, it may be increased; 7) both medical and psychiatric wards most commonly report using NG in addition to oral intake. Conversely any hospital admission was significantly longer (P<0.0001) for a YP requiring NG feeding compared to those managing an oral diet in a German retrospective cohort study [37]. Parker E, Faruquie S, Anderson G, et al. KH and CF performed search of databases and created the document. National Library of Medicine Front Psychol. Maginot et al. Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation. 2009;18(2):7584. When carbohydrate consumption is significantly reduced, insulin secretion slows. A systematic review of enteral feeding by nasogastric tube in young people with eating disorders, https://doi.org/10.1186/s40337-021-00445-1, https://www.ncbi.nlm.nih.gov/books/NBK436876/, https://doi.org/10.1136/bmjopen-2018-027339, https://doi.org/10.1016/j.encep.2012.06.001, https://doi.org/10.7326/0003-4819-102-1-49, https://doi.org/10.1016/j.jadohealth.2009.11.207, https://doi.org/10.1186/s40337-016-0132-0, https://doi.org/10.1177/0148607106030003231, https://doi.org/10.1097/00004703-200412000-00005, https://doi.org/10.1017/S0033291714001573, https://doi.org/10.1016/j.jadohealth.2013.06.005, https://doi.org/10.1186/s40337-015-0047-1, https://doi.org/10.12968/bjmh.2019.8.3.124, https://doi.org/10.1136/archdischild-2016-310506, https://doi.org/10.1080/10640260902991236, https://doi.org/10.1007/s40519-018-0572-4, https://doi.org/10.24953/turkjped.2016.06.010, https://doi.org/10.1002/1098-108X(200012)28:4<470::AID-EAT18>3.0.CO;2-1, https://doi.org/10.1176/appi.ajp.159.8.1347, https://doi.org/10.5694/j.1326-5377.2009.tb02487.x, https://doi.org/10.1007/s00787-008-0706-8, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. It is probable that medical wards primarily manage YP for short periods to stabilise acute physical health deterioration, while MH wards admit relatively medically stable YP and seek primarily to treat psychological ED symptoms that are preventing an adequate oral diet. Titles and abstracts were screened by all authors before reviewing full length articles. (2004). Int J Eat Disord. What Is Imitation Crab and Should You Eat It? Results imply modulation of nutrition alongside insulin improves GC, particularly in patients with persistent hyperglycaemia/low glucose tolerance. Eat Weight Disord. Nocturnal nasogastric refeeding for hospitalized adolescent boys with anorexia nervosa. The main disadvantage to bolus feeding, in medically stable YP, is that the NG tube requires reinsertion each time a feed is required, however, it provides a tangible motivation to eat the full meal plan provided which, in practice, should always be encouraged over NG feeding in order to promote patient wellbeing.
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