All prescription requests for oral nutritional supplements (ONS) should be dietitian led. If a request is received from another healthcare professional including specialist community nurisng teams, then please contact the GCCG Prescribing Support Dietitian for further advice.
A prescription request should be sent by the dietitian indicating:
Refeeding syndrome can be defined as the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients on refeeding following a period of starvation (NICE, 2006). This is particularly common in patients receiving artificial refeeding, but is possible with oral refeeding (particularly if oral nutritional supplements are prescribed). The patient should be considered at risk of refeeding syndrome if they meet the following criteria (NICE 2006).