A severely malnourished man begins enteral feeding after ten days of negligible intake. Thirty-six hours later he develops weakness, oedema and

Question

A severely malnourished man begins enteral feeding after ten days of negligible intake. Thirty-six hours later he develops weakness, oedema and ventricular ectopy. Phosphate is 0.28 mmol/L, potassium 2.9 mmol/L and magnesium 0.48 mmol/L. What is the most appropriate response?

Accepted Answer

Reduce feeding, give thiamine and replace all three electrolytes

Answer

Reduce feeding, give thiamine and replace phosphate alone

Answer

Pause feeding, give thiamine and replace all three electrolytes

Answer

Continue feeding, give thiamine and replace all three electrolytes

Answer

Start parenteral feeding, give thiamine and replace all three electrolytes

Severe hypercalcaemia of malignancy — SCE Acute Medicine MCQ

A severely malnourished man begins enteral feeding after ten days of negligible intake. Thirty-six hours later he develops weakness, oedema and ventricular ectopy. Phosphate is 0.28 mmol/L, potassium 2.9 mmol/L and magnesium 0.48 mmol/L. What is the most appropriate response?