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 TPN | Hypophosphataemia | Hypophosphataemia | |
Hyperglycaemia | Hyperglycaemia | ||
Metabolic acidosis | Metabolic acidosis | ||
Hypomagnesaemia | Hypokalaemia | ||
Chest pain | Lethargy | ||
Tachycardia | Tachycardia | ||
Hypotension | |||
Hypotension | Apnoea | ||
Cardiac arrhythmia | Mechanical ventilation | ||
Tachypnoea | |||
Adult respiratory distress syndrome | Adult respiratory distress syndrome | ||
Mechanical ventilation | Pulmonary infection | ||
After correction of hypophosphataemia | Episode of gastrointestinal bleeding | Episode of gastrointestinal bleeding | |
Pulmonary infection | Peritonitis | ||
Sepsis | Sepsis | ||
Persistent cardiopulmonary irregularity | Persistent cardiopulmonary irregularity | ||
Death | Death |