Pathophysiology, treatment, and prevention of fluid and electrolyte abnormalities during refeeding syndrome

Sara E Parli1, Kathryn M Ruf, Barbara Magnuson

  • 1Department of Pharmacy Services, UK HealthCare, Lexington, Kentucky (Drs Parli and Magnuson); and Department of Pharmacy Services, Jewish Hospital KentuckyOne Health, Louisville, Kentucky (Dr Ruf). Sara E. Parli, PharmD, is a critical care clinical pharmacist at UK HealthCare. She works primarily with the acute general surgery/trauma team to provide comprehensive pharmaceutical care to patients, including intravenous therapy. She also provides adjunct assistance to the nutrition support service. Kathryn M. Ruf, PharmD, BCPS, is the critical care specialist at Jewish Hospital in Louisville, Kentucky. She has a special interest in nutrition support therapies and has recently completed research focusing on refeeding syndrome in a heterogeneous intensive care unit population. Barbara Magnuson, PharmD, BCNSP, is the coordinator and clinical pharmacist on a multidisciplinary nutrition support service at UK HealthCare that promotes the maintenance or restoration of optimal nutritional therapy for patients, primarily in critical care areas, receiving parenteral and/or enteral nutrition.

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