IDPN Therapy

Intradialytic Parenteral Nutrition, IDPN, is intravenous (IV) nutrition designed specifically for malnourished hemodialysis patients.  These patients are unable to eat enough or absorb enough nutrients to meet their nutritional needs.  Their blood albumin levels are often low, significant weight loss may have occurred, and they generally don’t feel very well.  In addition, when albumin levels are low, patients are more likely to be admitted to the hospital and frequently stay for a longer period of time.

IDPN can help because it contains important nutrients including amino acids, dextrose, and often lipids.  Amino acids are the building blocks of protein and are used by the body in many ways including building muscle and fighting infection.  Dextrose is a type of carbohydrate that supplies energy.  Lipids are fats that also provide energy, but in a more concentrated form.  All three types of nutrients can help to improve a patient’s nutrition status.

The IDPN solution is prepared in the Brooks Health Care Pharmacy according to a physician prescription.  Each IDPN prescription is individualized to the needs of a specific patient.  It may even be altered or adjusted over time to reflect changes in the patient’s nutritional and/or medical status.

IDPN is given to patients during their hemodialysis treatment via the venous access.  No separate line is needed.  In most cases, the extra fluid from the IDPN solution is pulled off, along with the usual fluids and waste products.  Most people do not feel any different while they are receiving this treatment.  Many, in fact, start feeling better in a few weeks.  The length of therapy is variable and depends on various factors including the level of malnutrition to begin with and whether or not patients can begin to eat enough nutrients to meet their nutritional requirements.