TPN develops deficiency of:

A pt. on TPN develops deficiency of: 

a. Folic acid 
b. Iron 
c. Vitamin B-12 
d. Copper 
e. Fatty acids

Ans (A) Folic acid; (B) Iron; (C) Vitamin B-12; (D) Copper; (E) Fatty acids;

• Metabolic complications of total Parenteral nutrition (TPN):-

First 48 hr onwards	First 2 Wk	3 months onwards
Fluid overload	Cardiopulmonary failure	Essential fatty acid deficiency
Hyperglycemia	edema	Iron deficiency
Hypophosphatemia Hypokalemia	Hyperosmolar non-ketotic hyperglycemic coma Acid balance imbalance Electrolyte imbalance	Vitamin deficiencies TPN metabolic bone disease TPN liver disease Zinc,Copper Chromium, selenium, Molybdenum Deficiency