What is Long term parenteral nutrition most impoant complication ? and explain in detail?
.Monitoring the patient by body weight, fluid balance, blood glucose, electrolytes, blood urea, LFT serum calcium, magnesium, phosphate should be done at regular intervals. A weight gain more than one kg/day signifies fluid overload.Biochemical complications of TPN includes 1. Electrolyte imbalance: Hyponatraemia, hypokalaemia, hypophosphataemia. 2. Hyperosmolarity. 3. Hyperglycaemia. - common. 4. Dehydration. 5. Altered immunological and reticuloendothelial function. 6. Azotaemia. ref:SRB&;s manual of surgery,ed 3,pg no 89