In a 40-year-old woman receiving TPN for small-bowel fistula, what finding can be attributed to hypophosphatemia?
Hypophosphatemia results in decreased synthesis of phosphorylated intermediate metabolites such as adenosine triphosphate (ATP), 2, 3-DPG, and cyclic adenosine monophosphate (cAMP). Deficiency can result in erythrocyte membrane instability, WBC dysfunction, platelet dysfunction, congestive hea failure, arrhythmias, weakening of respiration muscles, hemolysis, and rhabdomyolysis.
Increased cardiac output
Diarrhea
Increased energy production
Rhabdomyolysis
Fluid, Electrolyte and Nutrition