A patient with BMI 15 kg/m² has eaten almost nothing for 12 days and is about to start enteral feeding. Which initial prescription best follows NICE

Question

A patient with BMI 15 kg/m² has eaten almost nothing for 12 days and is about to start enteral feeding. Which initial prescription best follows NICE guidance for high refeeding risk?

Accepted Answer

Begin at 10 kcal/kg/day with thiamine and monitored electrolyte replacement

Answer

Restrict phosphate and potassium during the first 48 hours

Answer

Start full energy requirements immediately and check phosphate after one week

Answer

Delay all nutrition until every electrolyte has been normal for seven days

Answer

Give intravenous glucose first, then thiamine only if confusion develops

Refeeding Syndrome — SCE Medical Oncology MCQ

A patient with BMI 15 kg/m² has eaten almost nothing for 12 days and is about to start enteral feeding. Which initial prescription best follows NICE guidance for high refeeding risk?