Intradialytic parenteral nutrition

Intradialytic Parenteral Nutrition (IPN) is a medical intervention used to provide nutrition to patients undergoing hemodialysis. It is typically used for patients who are malnourished or at risk of malnutrition due to their kidney disease or dialysis treatment.

Overview

Intradialytic parenteral nutrition is a form of parenteral nutrition that is administered during hemodialysis sessions. It is designed to supplement the nutritional intake of patients who are unable to meet their nutritional needs through oral or enteral feeding alone.

Indications

IPN is typically indicated for patients with chronic kidney disease (CKD) who are undergoing hemodialysis and are malnourished or at risk of malnutrition. This can be due to a variety of factors, including reduced appetite, dietary restrictions, metabolic abnormalities, and the catabolic effects of dialysis itself.

Procedure

During a hemodialysis session, a solution containing proteins, carbohydrates, lipids, vitamins, and minerals is infused into the patient's bloodstream. This provides the patient with essential nutrients that they may not be getting from their diet. The exact composition of the solution can be tailored to the individual patient's needs.

Benefits and Risks

The primary benefit of IPN is that it can help to improve nutritional status, which in turn can improve overall health and quality of life. It may also help to reduce the risk of complications associated with malnutrition, such as infection and cardiovascular disease.

However, IPN is not without risks. These can include infection, fluid overload, and metabolic disturbances. Therefore, it is important that the use of IPN is carefully monitored and adjusted as necessary.

See Also

• Parenteral Nutrition
• Hemodialysis
• Chronic Kidney Disease