Blogs

Acute Nurses - IDPN use for hospital inpatients

By Suzann VanBuskirk posted 08-18-2009 20:58

  

Are acute dialysis nurses administering IDPN for hospital inpatients?  If so, can you share your experience and your process for coordinating this with the nephrologist, pharmacist, and dietitian to ensure that it is given safely?

IDPN is a great option for patients who have protein and energy malnutrition, but my recent experience in a small community hospital has been less than ideal.

Would appreciate any thoughts or comments.

Thanks,
Susie

4 comments
60 views

Related Content

Permalink

Comments

Lisa Donald
08-31-2009 17:21

Susie,
I (Tina Bakke, RD) am using Lisa Donald's sign on for now. We have been using IDPN for years at our acute care hospital. We are a large Kidney Center with new chronic and acute renal patients. The standards are adapted from the Council on Renal Nutrition/National Kidney Foundation "Pocket Guide to Nutrition Assessment of the Patient with Chronic Kidney Disease, 4th ed. pages 6-24 through 6-26. Call one of your local hemodialysis facilities and discuss with their Renal Dietitian, she could likely provide some education. Feel free to contact one of us: Lisa Donald, RN @ 602-839-5045 or Tina Bakke, RD @ 602-839-2530 if you want a more involved discussion. Good Luck, Tina

Kathey Day
08-25-2009 07:48

A the teaching hospital I am currently contracted with here in Louisiana we have a few nephrologist that are adding Lipids and/or Amino acids to the dialysis treatment orders. Most of the nurses here are new. I would like to have any information on this that you can offer. The pahrmacy here is of no help and the Nephrologist each have their own ideas and no wrtten data.I have searched the intenet and still nothing. Thanks....Kathey

Suzann VanBuskirk
08-21-2009 12:37

Donna - thanks for your comments, these are all very helpful. Many of the patients I dialyze in hospital have PEG tubes and Nepro infusing.
Susie Vanbuskirk

Donna Casey
08-20-2009 17:42

We did that for awhile several years ago with our acute patients but found that only giving it 3 times a week was not beneficial to the patients. They would be better helped with more frequent support with continuous IV or NG treatment. When we used it the nephrologists had to order it in advance, the arrival of the IDPN had to be coordinated with pharmacy and dialysis. Hoppe this helps.