lo risk of refeeding syndrome in ED

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Low Risk of Refeeding Syndrome in Children

A child is considered at low risk of refeeding syndrome if they do not have the following significant risk factors:

1. Mild or no weight loss: No history of rapid or significant weight loss (e.g., weight loss >10% over a short period).
2. Adequate recent nutritional intake: The child has been consuming enough calories and essential nutrients, even if they are slightly underweight.
3. Normal electrolyte levels: No major electrolyte imbalances (e.g., hypophosphatemia, hypokalemia, or hypomagnesemia).
4. No history of prolonged fasting: They have not experienced extended periods without food (e.g., >5 days).
5. Normal BMI: Their weight-for-height or BMI is within normal ranges for age and sex.
6. Stable underlying medical condition: No severe underlying chronic illness, such as cystic fibrosis, congenital heart disease, or inflammatory bowel disease, that predisposes them to malnutrition.

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