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Case Notes

The patient began dialysis on 5/2/17, more specifically this patient started Continuous Cycling Peritoneal Dialysis (CCPD). Patient presented with hypoalbuminemia, with a three month average albumin of 2.4 at time of referral. At that time, the patient was also currently consuming Liquacel 3 times a week to provide 16gms of protein per each serving. The baseline albumin was 2.0 g/ dL. IPN therapy was initiated on 3/27/18 secondary to hypoalbuminenia. Patient is replacing one 6L Baxter dianeal bag with a 6L Baxter IPN bag from Pentec which is providing 90gms of Amino Acids each evening. Due to the increase in the albumin the patient was able to have back surgery in order to repair herniated disks that was causing the patient severe pain which, affected appetite. Patient is still actively receiving IPN and we are awaiting new lab results following the scheduled back surgery.