一百年后，这一切都无关紧要。
First off, IPN is IntraPertoneal Nutrition. I have recently been placed in the hopper to receive this treatment, which is provided byPenTec Health.
Pentec Health is a nationwide leader in clinical nutrition and specialty pharmacy services, with over 40 years of experience serving patients with complex, chronic health conditions. The company was founded in 1983 as “PENtech Infusions,” initially focusing on meeting the needs of dialysis patients and those with severe pain or spasticity. In 2006, it was renamed Pentec Health to reflect its broader healthcare offerings.
So we all can learn more about IPN, I turned to Perplexity with the following Prompt and results. I have one of the many Chinese curses, to wit, “In 100 years this won’t matter!” is lead graphic in Chinese.
Prompt: For a patient on pd who has just been prescribed IPN treatment by his neproholigust, what’s in store for him?
A patient on peritoneal dialysis (PD) who has just been prescribed Intraperitoneal Nutrition (IPN) by their nephrologist can expect several key changes and supports in their care routine:
What is IPN and Why Is It Prescribed?
- IPN is a specialized nutritional therapy designed for PD patients who are experiencing or are at risk for malnutrition, particularly due to the significant protein losses (5–15 grams daily) that occur during dialysis123.
- It involves adding amino acids (protein building blocks) directly into the dialysis solution (dialysate), which is then infused into the peritoneal cavity during a regular dialysis exchange1452.
What Will the Patient Experience?
- Customized Nutrition: The IPN solution is tailored to the patient’s individual nutritional needs, based on lab results and clinical assessments. It typically includes amino acids and may also contain other nutrients, such as vitamins and minerals1453.
- Administration: The patient will substitute one of their usual PD dialysate bags with an IPN bag each day (or as prescribed). This is usually done at home, with training and support from a nurse or pharmacist52.
- Home Support: Patients receive regular home deliveries of the IPN solution and necessary supplies, plus ongoing training and monitoring from healthcare professionals52.
- Monitoring: The patient’s nutritional status (e.g., serum albumin levels, body weight) will be closely monitored, typically with blood tests every few months. Adjustments to the IPN formula may be made as needed1452.
- Team-Based Care: The patient will work closely with their nephrologist, a renal dietitian, PD nurses, and possibly a case manager to ensure the therapy is effective and safe145.
Expected Benefits
- Improved Nutritional Status: IPN helps restore protein and calorie balance, increasing important markers like albumin and prealbumin, which are linked to better health outcomes and lower hospitalization rates1672.
- Better Physical Health: Many patients report improved appetite, energy, and muscle strength after starting IPN167.
- Reduced Complications: By addressing malnutrition, IPN can decrease the risk of infections (such as peritonitis), hospitalizations, and other complications common in PD patients173.
Possible Side Effects and Considerations
- Generally Well Tolerated: Most patients do not experience significant side effects, but some may notice mild gastrointestinal symptoms (e.g., nausea, fullness), especially if the infusion rate is too high46.
- Fluid Management: Because IPN adds fluid to the body, careful monitoring of fluid balance is essential to avoid dehydration or overhydration. Adjustments in the dialysis prescription may be needed45.
- Duration of Therapy: The length of time a patient remains on IPN varies. Therapy may be paused or discontinued if the patient’s nutritional markers improve and stabilize4.
Summary Table: What’s in Store for a PD Patient Starting IPN
| Aspect | What to Expect |
|---|---|
| Therapy Type | Amino acids/nutrients added to PD dialysate |
| Administration | At home, replaces one or more daily exchanges |
| Support | Home delivery, nurse/pharmacist training, 24/7 support |
| Monitoring | Regular labs, ongoing team-based adjustments |
| Benefits | Improved nutrition, energy, reduced complications |
| Side Effects | Rare, mostly mild GI symptoms, fluid balance monitored |
| Duration | Individualized, based on response and lab results |
In summary:
A patient starting IPN can expect a personalized, home-based nutritional therapy designed to improve their protein levels and overall health, with regular support and monitoring from a multidisciplinary care team. This intervention is generally well tolerated and can significantly improve outcomes for malnourished PD patients14652.
To complete my background in the need for IPN, I’ve embedded the cover letter my Neprologist, Dt Turner submitted with the application.
- https://www.pharmko.com/blog/ipn-for-peritoneal-dialysis-explained
- https://www.pharmko.com/blog/what-is-ipn-for-peritoneal-dialysis
- https://brooksinfusion.com/ipn/
- https://pentechealth.com/idpnipn/
- https://pcacorp.com/nutririte-home-idpn-ipn/
- https://www.pharmko.com/blog/intraperitoneal-nutrition-for-health
- https://www.pharmko.com/blog/how-ipn-supports-patients-with-severe-malnutrition
- https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/peritoneal-dialysis/eating-nutrition
- https://www.kidneywi.org/wp-content/uploads/2020/11/How-IDPN-and-IPN-Can-Benefit-Your-Patinets.pdf
- https://pubmed.ncbi.nlm.nih.gov/9915292/
Leave a Reply