Treat medical complications
Cardiovascular
Bradycardia due to increased vagal tone
Other serious dysrhythmias
Decreased cardiac muscle from malnutrition --> cardiac dysfunction, mitral valve prolapse
Caution with rate of IVF (risk of pulmonary edema)
Fluid/Electrolytes
Serious electrolyte abnormalities can occur
Hypophosphatemia can impair cardiac and diaphragmatic muscle contractions--> respiratory/cardiac arrest
Hypomagnesemia, hypokalemia and alterations with refeeding can cause arrhythmia
Refeeding syndrome risk
Even 1L of d5 NS could harm patient subsisting on <400kcal daily
Gastrointestinal
Delayed gastric/colonic emptying--> gastroparesis, distension, GERD, constipation, SMA syndrome
MSK
Osteoporosis due to HPA dysfunction
Risk of fracture with minimal or no trauma
Must avoid use of bupropion as it may lead to seizures in patients with eating disorders
Cardiovascular
Bradycardia due to increased vagal tone
Other serious dysrhythmias
Decreased cardiac muscle from malnutrition --> cardiac dysfunction, mitral valve prolapse
Caution with rate of IVF (risk of pulmonary edema)
Fluid/Electrolytes
Serious electrolyte abnormalities can occur
Hypophosphatemia can impair cardiac and diaphragmatic muscle contractions--> respiratory/cardiac arrest
Hypomagnesemia, hypokalemia and alterations with refeeding can cause arrhythmia
Refeeding syndrome risk
Even 1L of d5 NS could harm patient subsisting on <400kcal daily
Gastrointestinal
Delayed gastric/colonic emptying--> gastroparesis, distension, GERD, constipation, SMA syndrome
MSK
Osteoporosis due to HPA dysfunction
Risk of fracture with minimal or no trauma
Bradycardia due to increased vagal tone
Other serious dysrhythmias
Decreased cardiac muscle from malnutrition --> cardiac dysfunction, mitral valve prolapse
Caution with rate of IVF (risk of pulmonary edema)
Serious electrolyte abnormalities can occur
Hypophosphatemia can impair cardiac and diaphragmatic muscle contractions--> respiratory/cardiac arrest
Hypomagnesemia, hypokalemia and alterations with refeeding can cause arrhythmia
Refeeding syndrome risk
Even 1L of d5 NS could harm patient subsisting on <400kcal daily
Hypophosphatemia can impair cardiac and diaphragmatic muscle contractions--> respiratory/cardiac arrest
Hypomagnesemia, hypokalemia and alterations with refeeding can cause arrhythmia
Delayed gastric/colonic emptying--> gastroparesis, distension, GERD, constipation, SMA syndrome
Osteoporosis due to HPA dysfunction
Risk of fracture with minimal or no trauma
Anorexia nervosa
Gastrointestinal disease
Bulimia nervosa
Hyperthyroidism
Metabolic syndrome
Occult malignancies
Hypothyroidism
AIDS