severely malnourished patient on TPN has altered electrolyte levels, hyperglycemia, and fluid retention.The nurse recognizes that the patient may be experiencing:

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These symptoms are indicative of refeeding syndrome, which can occur when a severely malnourished patient is started on TPN. The sudden influx of nutrients can cause rapid shifts in electrolyte and fluid levels, as well as hyperglycemia. This can lead to potentially life-threatening complications such as cardiac arrhythmias, respiratory failure, and seizures. Close monitoring and cautious refeeding are essential to prevent refeeding syndrome. When a severely malnourished patient is started on total parenteral nutrition (TPN), there is a risk of refeeding syndrome. Refeeding syndrome is a potentially life-threatening complication that can occur when there is a rapid shift from a catabolic state to an anabolic state. This shift can lead to alterations in electrolyte levels, hyperglycemia, fluid retention, and other metabolic disturbances. The nurse should monitor the patient closely for signs and symptoms of refeeding syndrome and report any changes to the healthcare provider.

Severely Malnourished Patient on TPN Has Altered Electrolyte Levels, Hyperglycemia