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학습 자료 둘러보기 →A BMI of 15.8 kg/m² with bradycardia (48 bpm), hypotension, and multiple electrolyte deficits (hypophosphatemia, hypomagnesemia, hypokalemia) signals a high risk for refeeding syndrome, a life-threatening metabolic crisis.
The primary danger is sudden cardiac arrhythmia or arrest driven by intracellular electrolyte shifts once nutrition is reintroduced. Continuous cardiac monitoring is the non-negotiable first step to detect lethal rhythms before initiating any controlled refeeding.
Do not prioritize psychosocial or nutritional education interventions until the client is medically cleared. Cardiac instability from electrolyte disturbances takes absolute precedence over therapeutic communication or meal planning.
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