Síndrome de RealimentaçãoJosé Wellington Menezes da Silva RESUMO A alimentação de pacientes subnutridos deve ser cercada de cautela especial. A síndrome de realimentação caracteriza-se por alterações neurológicas, sintomas respiratórios, arritmias e falência cardíacas, poucos dias após a realimentação. Ocorre em consequência do suporte nutricional (oral, enteral ou parenteral) em pacientes severamente desnutridos. O acompanhamento de parâmetros metabólicos e de níveis de eletrólitos antes do início do suporte nutricional e periodicamente durante a alimentação deve ser baseado em protocolos, no estado da doença subjacente e na duração da terapia. Equipe multidisciplinar de terapia nutricional pode orientar e educar outros profissionais de saúde na prevenção, diagnóstico e tratamento dessa síndrome. Palavras-chave:Subnutrição. Pacientes Graves. Síndrome de Realimentação. ABSTRACTThe feeding of malnourished patients should be surrounded with special caution. The refeeding syndrome characterized by neurological, respiratory symptoms, arrhythmias and heart failure, a few days after refeeding. It occurs as a result of nutritional support (oral, enteral or parenteral) in patients severely malnourished. The monitoring of the metabolic parameters and electrolyte levels before the beginning of nutritional support and periodically during the supply must be based on protocols, the state of the underlying disease and duration of therapy. Multidisciplinary team of nutritional therapy can guide and educate other health professionals in the prevention, diagnosis and treatment of this syndrome.
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