Refeeding Pathway

 

BMI <15 Pathway

BMI 15-17.5 Pathway

Purging Pathway

 

Patient at risk of refeeding syndrome

Patient not at risk of refeeding syndrome

Initial Screen

FBC   U+E   LFT   TFT   CK Phosphate Magnesium

FBC   U+E   LFT   TFT   CK

FBC   U+E   LFT   TFT   CK

U+E

Ongoing Bloods

Twice Weekly

U+E   LFT   Phosphate Magnesium

1-3 Monthly

Using Clinical Judgement

FBC   U+E   LFT

NIL

Unless Clinical Need

U+E

3.0-3.5- Repeat in 1/52

2.5-2.9- Prescribe Supplement, Repeat in 1/52

Then use Clinical Judgement

 

Ongoing Investigations

Initial ECG

Then Clinical Judgement

ECG- Clinical Judgement

ECG- Clinical Judgement

ECG- Clinical Judgement

 

 

Bone Scan Every Two Years Unless Not Indicated

 

Vitamin/Mineral/Potassium Supplementation

Sanatogen A-Z One Daily

Calcichew D3 Forte Two Daily

Thiamine 100Mg Twice Daily

Vitamin B Co Strng Two TDS

Sanatogen A-Z One Daily

Calcichew D3 Forte Two Daily

Sanatogen A-Z One Daily

Calcichew D3 Forte Two Daily if Amenorrhea

Potassium Supplement According To Hypokalaemia Protocol