Nutritional Goals:

Based upon my diagnosis of marasmus-kwashiorkor, my goals for this patient are to replete both energy 
and protein.  My primary concern will be with the possible precipitation of refeeding syndrome in this 
patient if I try to do too much too fast.  Therefore, I will calculate my goal requirements to meet my optimal 
nutritional goals for the patient, but will be sure to initiate any feeding regimen slowly and gradually, 
taking precautions to monitor the appropriate electrolytes and other clinical parameters that would indicate 
a problem with refeeding.