Complication after re-commencement of enteral or parenteral nutrition after a period of starvation
Glucose intake triggerss Insulin secretion and subsequently shift of PO4, K and Mg into the intracellular space.
Complications
Respiratory
Respiratory failure
Respiratory muscle weakness
Cardiac
Cardiac failure
Hypotension
Arrhythmias
Neurology
Altered mental state
Confusion
Coma
Seizures
Renal
ATN
Skeletal
Rhabdomyolysis
Weakness
Endocrine
Insulin resistance
Osteomalacia
Haematologic
White Cell dysfunction
Thrombocytopenia
Hemolytic anemia
Depletion of 2,3 PDG (left shift of oxygen binding curve) and ATP result in tissue hypoxia and failure of cellular energy metabolism
Immune function
Sepsis