Table 3: Monitoring patients at risk of developing RFS [5, 6, 8, 30].

Clinical monitoringBiochemical monitoring

Early identification of high risk patientsMonitor biochemistry and electrolyte levels
Monitor blood pressure and pulse rateMonitor blood glucose levels
Monitor feeding rateECG monitoring in severe cases
Meticulously document fluid intake and outputAccount other sources of energy
Monitor change in body weight (dextrose, propofol, medications)
Monitor for neurologic signs and symptoms
Patient education