question about refeeding syndrome

[direw0lf, BSN]

With parenteral nutrition a question asked "The nurse understands with parenteral feeding that a constant infusion rate is important because...?" One answer was an unstable blood glucose level, and another was electrolyte imbalance. The correct is the glucose.

I thought the most important thing was checking for hypophosphatemia to indicate refeeding syndrome? So wouldn't that be electrolyte imbalance? (I just learned this so I apologize if I'm sounding dumb)

Thank you

[cracklingkraken, ASN, RN]

If the infusion rate of TPN feeding suddenly reduces or stops, the patient is at an increased risk of hypoglycemia, which is good for no one.