2008, Número 2
Síndrome de realimentación en el paciente críticamente enfermo
Carrillo ER, Escobar AE, Flores GLE, Lezama MJI
Idioma: Español
Referencias bibliográficas: 37
Paginas: 93-99
Archivo PDF: 164.13 Kb.
RESUMEN
El síndrome de realimentación es una alteración metabólica y del balance de líquidos y electrólitos en pacientes graves desnutridos que inician apoyo nutricional. Los factores de riesgo asociados que predisponen a este síndrome son pérdida acelerada de peso, quimioterapia, radioterapia, alcoholismo y enfermedades relacionadas con malabsorción. Las manifestaciones clínicas son secundarias fundamentalmente a hipofosfatemia e incluyen insuficiencia cardiaca, debilidad muscular, disfunción inmunitaria y hematológica, así como trastornos digestivos y del sistema nervioso, lo que puede llevar a la muerte. La identificación de pacientes con alto riesgo para desarrollar este síndrome y su manejo oportuno son importantes para disminuir su incidencia y morbimortalidad.
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