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Refeeding syndrome — RACP Paediatrics MCQ

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HardEmergencyRefeeding syndromeRACP Paediatrics

Same patient: refeeding commenced. Day 3: phosphate drops to 0.5, confusion, tachycardia. What is the critical intervention?

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Correct answer: CIV phosphate

Refeeding syndrome: severe hypophosphataemia (<0.5) with symptoms = medical emergency. IV phosphate replacement, reduce calories temporarily, cardiac monitoring.

Reference: RCH Melbourne – 2023 – Eating Disorders CPG