Failure to Thrive / Malnutrition
Inadequate nutritional intake or absorption resulting in unintentional weight loss, functional decline, and micronutrient deficiencies
Symptoms / Associated Sx
Unintentional weight loss (>5% body weight in 1 month or >10% in 6 months)
Fatigue, weakness, loss of muscle mass (sarcopenia)
Poor appetite, early satiety, dysphagia (access to food barriers)
Pressure ulcers, poor wound healing
Cognitive decline, depression (especially in elderly)
Edema, ascites (hypoalbuminemia)
Specific deficiency signs: angular cheilitis (B2/iron), glossitis (B12/folate/niacin), peripheral neuropathy (B12/thiamine), night blindness (vitamin A), tetany (calcium/magnesium), bruising (vitamin K)
Denies
Intentional weight loss with dietary changes (rules out diet-related weight loss)
Fever, night sweats (rules out infectious or malignant etiology if absent — but must still investigate)
Diarrhea, steatorrhea (rules out malabsorption syndrome if absent)
Dysphagia (rules out mechanical dysphagia as primary cause)
Social History (SHx)
Social isolation, food insecurity, poverty, alcohol/substance use, functional decline/disability limiting food access, depression, cognitive impairment (dementia), living alone, recent bereavement, institutionalization.
Main Etiology
Inadequate intake: Depression, dementia, dysphagia, food insecurity, social isolation, medications (nausea), poor dentition
Malabsorption: Celiac disease, Crohn's disease, short bowel syndrome, pancreatic exocrine insufficiency, small intestinal bacterial overgrowth (SIBO)
Increased metabolic demand: Cancer, chronic infection (TB, HIV), cardiac cachexia, COPD, end-stage organ failure
Protein-losing: Protein-losing enteropathy, nephrotic syndrome, burns
Most Common DDx
Malignancy (weight loss + anorexia + night sweats; CT body + cancer screening labs; CBC for anemia; malignancy workup in any unexplained weight loss >10% over 6 months)
Depression / psychiatric illness (poor appetite + weight loss + low mood + anhedonia; PHQ-9; responds to antidepressants and social support)
Celiac disease (malabsorption + diarrhea + bloating; anti-tTG IgA + total IgA; small bowel biopsy shows villous atrophy; gluten-free diet resolves)
Hyperthyroidism (weight loss + increased appetite + tremor + tachycardia; TSH low, free T4 high; responds to antithyroid medications)
Adrenal insufficiency (weight loss + fatigue + nausea + hypotension + hyponatremia; AM cortisol low; ACTH stimulation test confirms)
Pancreatic exocrine insufficiency (steatorrhea + weight loss; fecal elastase low; responds to pancreatic enzyme replacement)
SIBO (small intestinal bacterial overgrowth — bloating + diarrhea + malabsorption; hydrogen breath test; responds to rifaximin 550 mg TID × 14 days)
DATA
CBC (anemia — iron deficiency, B12/folate), CMP (albumin — severity marker; electrolytes; glucose; renal/liver function)
Prealbumin (more sensitive short-term nutritional marker than albumin)
Iron studies, ferritin, B12, folate, thiamine, 25-OH vitamin D, zinc, magnesium
TSH (hyperthyroidism), AM cortisol (adrenal insufficiency)
Anti-tTG IgA + total IgA (celiac disease)
Fecal elastase (pancreatic exocrine insufficiency)
Fecal fat (malabsorption — 72-hour stool collection or qualitative Sudan stain)
HIV test, TB skin test/IGRA (if infectious etiology suspected)
CT chest/abdomen/pelvis (malignancy, occult infection — in unexplained weight loss)
Upper endoscopy + small bowel biopsy (celiac, Crohn's, SIBO)
Depression screening (PHQ-9); cognitive assessment (MoCA, MMSE); functional assessment (ADLs)
Home Meds
Medications causing nausea/anorexia (metformin, digoxin, opioids, SSRIs — review and adjust)
Diuretics (aggressive diuresis → electrolyte depletion; assess dose)
Multiple medications (polypharmacy → reduced appetite)
Plan
Identify and treat underlying cause — this is the most important step
Dietitian consultation (ASPEN/AND malnutrition criteria; individualized nutrition plan)
Oral nutritional supplementation: High-calorie protein supplements (Ensure, Boost) TID between meals; fortify foods; address food access issues (social work consult)
Enteral nutrition (EN) — preferred over parenteral:
NG tube: short-term (<4 weeks); goal 25–30 kcal/kg/day; 1.2–2.0 g/kg/day protein
PEG tube: long-term (>4 weeks); consider for dysphagia, dementia with recurrent aspiration, head/neck cancer
NJ tube: if gastric motility impaired or aspiration risk
Parenteral nutrition (PN) — only when EN not feasible:
Total PN (TPN): central access (PICC or CVC); short bowel syndrome, intestinal failure, post-op when EN not possible >7 days
Peripheral PN: short-term bridge; limited by osmolarity (<900 mOsm/L
ORDERS
Labs
Admission Labs
CBC with diff
CMP
BMP
Magnesium
Phosphorus
Albumin
Prealbumin
CRP
Nutritional Labs
Iron studies
Ferritin
Vitamin B12
Folate
Thiamine (Vitamin B1)
Vitamin D (25-OH)
Zinc
Copper (if severe malnutrition)
Selenium (if severe malnutrition)
Endocrine Workup
TSH
Free T4
AM Cortisol
Malabsorption Workup
Anti-tTG IgA
Total IgA
Fecal elastase
Fecal fat study
Infectious Workup
HIV
TB Quantiferon/IGRA
Additional Labs
HbA1c
UA
ESR
CRP
Refeeding Syndrome Monitoring
BMP q12–24h initially
Mg daily
Phos daily
K daily
Trending Labs
CBC daily
CMP daily
Mg daily
Phos daily
Prealbumin weekly
Imaging
Malignancy Workup
CT Chest with Contrast
CT Abdomen/Pelvis with Contrast
Evaluate:
Occult malignancy
Chronic infection
Cachexia etiology
Dysphagia Evaluation
Barium Swallow
Modified Barium Swallow (SLP)
GI Workup
EGD
Celiac disease
Upper GI malignancy
Crohn's disease
Colonoscopy
Colon cancer
IBD
Procedures
Enteral Feeding Access
NG Tube
Short-term (<4 weeks)
PEG Tube
Long-term (>4 weeks)
NJ Tube
Aspiration risk
Gastroparesis
Parenteral Nutrition
PICC Placement
If:
TPN needed
EN not possible
Medications
Nutritional Support
Oral Nutrition Supplements
Ensure Plus
TID between meals
OR
Boost Plus
TID between meals
Vitamin Replacement
Thiamine
High Refeeding Risk
Thiamine 100 mg IV/PO daily
Start BEFORE feeding
Multivitamin
Daily
Folic Acid
1 mg PO daily
Iron Deficiency
IV Iron
Ferric carboxymaltose 500–1000 mg IV
OR
Oral Iron
Ferrous sulfate 325 mg PO every other day
B12 Deficiency
Cyanocobalamin
1000 mcg IM monthly
OR
Daily initially if severe
Vitamin D Deficiency
Vitamin D3
1000–5000 IU daily
OR
Ergocalciferol
50,000 IU weekly
Appetite Stimulants
(Not routine)
Mirtazapine
7.5–15 mg PO qHS
Useful if:
Depression
Poor appetite
Megestrol
Generally avoid in elderly
(VTE risk)
Refeeding Syndrome Prevention
Monitor Closely
Replace aggressively:
Potassium
Goal >4
Magnesium
Goal >2
Phosphorus
Goal >3
High Risk
BMI <16
Minimal intake >7 days
Severe weight loss
Nutrition Orders
Dietitian Consult (Mandatory)
Calorie Goal
25–30 kcal/kg/day
Protein Goal
1.2–2.0 g/kg/day
Daily Calorie Count
Daily Weights
Hold Medications
Review and Reduce
Potential offenders:
Opioids
Digoxin
Metformin
SSRIs causing anorexia
Excess diuretics
Polypharmacy Review
Consults
Nutrition/Dietitian (All Patients)
Speech Language Pathology (SLP)
If:
Dysphagia
Aspiration concern
Gastroenterology
If:
Malabsorption
Weight loss
Endoscopy needed
Oncology
If:
Suspected malignancy
Psychiatry
If:
Depression
Eating disorder
Severe anxiety
Social Work
If:
Food insecurity
Poor support
Placement issues
PT/OT
If:
Sarcopenia
Functional decline
Fall risk
Palliative Care
If:
Advanced cancer
End-stage organ disease
Nursing Orders
Monitoring
Daily weights
Strict I&O
Calorie counts
Fall Precautions
Weakness
Frailty
Skin Care
Pressure injury prevention
Frequent repositioning
Notify Physician
Electrolyte abnormalities
Poor PO intake
Weight loss
Refeeding syndrome signs