Which of the following is not a complication of TPN?: (A) Hepatic steaosis, (B) Renal failure, (C) Decreased bone density, (D) Septic venous thrombosis
Answer is C. .Complications of TPN includes Technical 1. Air embolism. 2. Pneumothorax. 3. Bleeding. 4. Catheter displacement, sepsis, blockage. 5. Infection, thrombosis. Biochemical- 1. Electrolyte imbalance: Hyponatraemia, hypokalaemia, hypophosphataemia. 2. Hyperosmolarity. 3. Hyperglycaemia. - common. 4. Dehydration. 5. Altered immunological and reticuloendothelial function. 6. Azotaemia. Others- 1. Dermatitis. 2. Anaemia and increased capillary permeability. 3. Cholestatic jaundice: It is common. 4. Severe hepatic steatosis. 5. Metabolic acidosis. 6. Candida infection (candidiasis), staphylococcal infection. (10-15%). ref:SRB&;s manual of surgery,ed 3,pg no 89