14 month old infant receives chronic total parenteral

Discussion in 'MRCS Forum' started by Lona., Nov 6, 2007.

  1. Lona.

    Lona. Guest

    A 14 month old infant receives chronic total parenteral nutrition for severe short gut syndrome. Each of the following is a complication of chronic parenteral nutrition EXCEPT-
    a- Sepsis
    b- Liver disease
    c- Pulmonary emboli
    d- Air emboli
    e- Irreversible atrophy of the mucosa of the small intestine
  2. Lona.

    Lona. Guest

    Answer: - The answer is E. (Rudolph 20/e, pp 1020-1023) Parenteral nutrition, particularly when a central line is used, has a relatively high risk of complications, so it should not be used without good indication. In addition to the complications mentioned, thrombosis of central veins, perforations of veins with infusion and bleeding into the pleural space and other sites, pneumothorax, branchial plexus injury, and skin sloughing may also occur. Small intestinal mucosal atrophy is reversed with oral feedings. Awareness of these complications and the practice of careful techniques may minimize the risks of this sometimes life-saving nutritional procedure.

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