Which group is explicitly listed as at risk for refeeding syndrome in the context of home PN initiation?

Which group is explicitly listed as at risk for refeeding syndrome in the context of home PN initiation?

• A. Infants
• B. Teenagers
• C. Those at risk for refeeding syndrome
• D. Adults with diabetes

Answer: (C)

The key idea is identifying who is explicitly flagged as at risk for refeeding syndrome when starting home PN. Refeeding syndrome happens when nutrition is restarted after a period of undernutrition, and insulin drives uptake of phosphate, potassium, and magnesium into cells, which can lead to dangerous electrolyte disturbances and thiamine deficiency if not anticipated. In the guidelines for initiating home PN, they explicitly name the group “those at risk for refeeding syndrome” to highlight who needs careful assessment and precautions—slow initiation of nutrition, electrolyte repletion, and vitamin supplementation, with close monitoring. Other groups like infants, teenagers, or adults with diabetes aren’t specified as the explicit at-risk category in this context; the emphasis is on the label for those at risk for refeeding syndrome itself.

The key idea is identifying who is explicitly flagged as at risk for refeeding syndrome when starting home PN. Refeeding syndrome happens when nutrition is restarted after a period of undernutrition, and insulin drives uptake of phosphate, potassium, and magnesium into cells, which can lead to dangerous electrolyte disturbances and thiamine deficiency if not anticipated. In the guidelines for initiating home PN, they explicitly name the group “those at risk for refeeding syndrome” to highlight who needs careful assessment and precautions—slow initiation of nutrition, electrolyte repletion, and vitamin supplementation, with close monitoring.

Other groups like infants, teenagers, or adults with diabetes aren’t specified as the explicit at-risk category in this context; the emphasis is on the label for those at risk for refeeding syndrome itself.