Table 1

Sequence of events after institution of total parenteral nutrition (TPN) in two cachectic patients (Weinsier and Krumdieck, 198161)

Case 1 Case 2
Within 48 hours of instituting TPNHypophosphataemiaHypophosphataemia
HyperglycaemiaHyperglycaemia
Metabolic acidosisMetabolic acidosis
HypomagnesaemiaHypokalaemia
Chest painLethargy
TachycardiaTachycardia
Hypotension
HypotensionApnoea
Cardiac arrhythmiaMechanical ventilation
Tachypnoea
Adult respiratory distress syndromeAdult respiratory distress syndrome
Mechanical ventilationPulmonary infection
After correction of hypophosphataemiaEpisode of gastrointestinal bleedingEpisode of gastrointestinal bleeding
Pulmonary infectionPeritonitis
SepsisSepsis
Persistent cardiopulmonary irregularityPersistent cardiopulmonary irregularity
DeathDeath