A complication of intradialytic parenteral nutrition that is NOT commonly associated with usual PN is

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Because intradialytic parenteral nutrition (IPN) is only provided during the several hours of dialysis treatment, abrupt cessation of parenteral nutrition could result in hypoglycemia.This happens because the continuous infusion of dextrose promotes insulin secretion.When the IPN is discontinued, insulin levels are still elevated, yet glucose infusion has stopped.To prevent this, the glucose administration should be tapered up and down during the first and last 1/2 hour of infusion.Although vitamins and trace elements are not administered in IPN, they may be provided to the patient between dialysis and IPN treatments.Hypophosphatemia is a complication that can occur in either method because of the patient's use of phosphate binders.Infection risk occurs in both as open access to the blood system is maintained whether infusion is through a peripheral fistula or central line.

A Complication of Intradialytic Parenteral Nutrition That Is NOT Commonly