TPN may be complicated by -: (A) Obstructive jaundice, (B) Hyperosteosis, (C) Hypercalcemia, (D) Pancreatitis
Answer is C. • Characterized by severe fluid and electrolyte shifts in malnourished patients undergoing refeeding.
• It can occur with either enteral or parenteral nutrition but is more common with the latter.
• It results in hypophosphataemia, hypocalcaemia and hypomagnesaemia.
• Risk Factors: Alcohol dependency, severe malnutrition, Anorexics and prolonged periods of fasting.
Treatment
• Treatment involves matching intakes with requirements and assiduously avoiding overfeeding.
• Calorie delivery should be increased slowly and vitamins administered regularly.
• Hypophosphataemia and hypomagnesaemia require treatment.