*🪄 ASEPSIS SCORE* : To Predict Prognosis of Surgical Site Infection : *Components* : Lna academy • Additional treatment • Serous discharge • Erythema • Purulent exudate • Separation of deep tissues • Isolation of bacteria from wound • Stay as an impatient prolonged for over 14 days due to wound infection *🪄REFEEDING SYNDROME* : • Develops when large quantities of nutrition is given to a chronically malnourished patient. • Metabolic derangements : a. Hypophosphatemia ( Main driving process) b. Hypomagnesemia + Fluid overload. c. Hypokalemia • Main Cause of Death : Arrhythmias, CHF. #.Patients who are at *Risk* of Developing Refeeding Syndrome : a. BMI < 16 kg/m2. b. Unintentional weight loss > 15% within the last 3-6 months c. Little or NO Nutritional intake for more than 10 days. d. Low Potassium, phosphate or magnesium levels prior to feeding. *Prevention* : • Initially 10 kcal/kg/day & gradually to full needs by 4 to 7 days. • Strict monitoring of electrolytes. • Thiamine Supplementation.