After nutrition restarts: weakness and falling electrolytes
Educational use only. Not clinically reviewed58-year-old woman for Coordinated electrolyte rescue, vitamin and nutrition review, repeated assessment, and continuing care. About 60 simulated minutes.
What you will practise
- Connect recent nutrition, depleted intake, and the supplied electrolyte trajectory.
- Address the complete electrolyte problem, not phosphate alone.
- Coordinate vitamin support and an individualized nutrition plan.
- Reassess the trajectory rather than infer response from elapsed time.
- Hand off continuing nutrition and electrolyte surveillance.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- da Silva JSV et al. ASPEN Consensus Recommendations for Refeeding Syndrome. Nutrition in Clinical Practice. 2020;35:178–195. doi:10.1002/ncp.10474. Table 6 and treatment discussion: coordinated electrolyte, vitamin, nutrition, and monitoring care. Erratum doi:10.1002/ncp.10491 corrects risk tables. Authored responses are not guideline predictions.
- Matthews-Rensch K et al. The Australasian Society of Parenteral and Enteral Nutrition: Consensus statements on refeeding syndrome. Nutrition & Dietetics. 2025. doi:10.1111/1747-0080.70003. Sections 3.5.1–3.5.4 and 3.6–3.7 distinguish nutrition risk, established electrolyte deterioration, individualized advancement, supplementation, and surveillance; no universal feeding rate is taught.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.