Total parenteral nutrition (TPN) is a method od feeding that bypasses the gastrointestinal tract(GIT)

yet gives optimum nutrition for the patient. However there are few complications which are
associated with TPN. Firstly,chronic deficiency syndrome which comes under the category of nutrional
deficient. TPN only gives certain essential nutritient and cause deficiency for other nutrients and
leading to chronic deficiency syndrome. This chronic deficiency syndrome is due to metabolic
abnormalities resulted from TPN. Secondly, the infection due to catheter. Cathether related sepsis is
one of the common issues faced due to TPN. During cathether insertion , the patient is exposed or
prone to get infection thus strong aseptic technique is required to be practiced to avoid this. Infection
must be suspected if there is fever,metabolic acidosis, thrombocytopenia or glucose
instability.Thirdly, pneumothorax due to line insertion.This is one of the most common line