Síndrome de realimentação: da fisiopatologia ao manejo

Alan Felipe Sakai; Natalia Costa da Costa

doi:10.23925/1984-4840.2018v20i2a2

Autores

Alan Felipe Sakai Hospital Israelita Albert Einstein – São Paulo (SP), Brasil.
Natalia Costa da Costa Hospital Municipal do Campo Limpo Dr. Fernando Mauro Pires da Rocha – São Paulo (SP), Brasil.

DOI:

https://doi.org/10.23925/1984-4840.2018v20i2a2

Palavras-chave:

síndrome da realimentação, desnutrição, fisiopatologia, equipe de assistência ao paciente, resultado de tratamento

Resumo

A síndrome de realimentação é um problema crescente e de extrema importância clínica, infelizmente diagnosticada tardiamente (provavelmente por ser mal reconhecida ou compreendida). Vários estudos já tentaram avaliar sua incidência, porém com resultados bastante variados. Os processos fisiopatológicos incluem distúrbios de glicose e de equilíbrio de fluidos, além de distúrbios eletrolíticos que envolvem principalmente os íons intracelulares fosfato, potássio e magnésio. Apesar de ser potencialmente evitável, está associada à alta morbidade e mortalidade. As equipes multiprofissionais podem ajudar a fornecer aconselhamento e educação em sua prevenção, reconhecimento e tratamento. Diretrizes de tratamento devem ser estabelecidas para facilitar isso.

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