Too-rapid refeeding is a major problem in patients with anorexia, because their bodies can become overwhelmed with the sudden intake of nutrients, leading to severe fluid retention, electrolyte disturbances
, arrhythmias, seizures, coma, and death.
Dysnatremias are among the most common electrolyte disturbances
and are often associated with poor outcomes, as many clinicians fail to recognize the life-threatening symptoms and initiate appropriate treatment.
Experiments conducted in the late 1940s and early 1950s suggested that many drowning deaths resulted from electrolyte disturbances
or cardiac arrhythmia produced by high volumes of water entering the circulatory system through the lungs.
Feeds are started at a low rate, to enable electrolyte disturbances
to be corrected promptly, and are only increased when levels are normal, taking several days to reach goal rate (11,12).
He was admitted with renal failure, electrolyte disturbances
, and acute respiratory distress, which necessitated intubation and mechanical ventilation.
The main treatment is vigorous intravenous fluid replacement and correction of electrolyte disturbances
Fluid and electrolyte disturbances
are a common occurrence in the patient with neurological impairment.
Management of Complex Fluid and Electrolyte Disturbances
CRRT is a dialysis modality used to treat disorders that develop as a result of AKI, especially toxin accumulation, fluid overload, and both acid-base and electrolyte disturbances
Acute diarrhoea may lead to life-threatening dehydration and electrolyte disturbances
Although the electrocardiographic manifestations of hypokalemia have been known for over half a century (4), virtually none of the computer programs for interpreting ECGs attempt to read electrolyte disturbances
, including hypokalemia.
The patient may also develop electrolyte disturbances
, hypotension and cardiac arrhythmias (5).
The remainder was attributed mainly to worsening heart failure or electrolyte disturbances