IP
IP or Intraperitoneal is a method of administration for drugs, fluids, and chemotherapy where the substance is put directly into the peritoneal cavity, an area that houses organs such as the stomach, liver, and intestines. This method is often used when oral or intravenous administration is not possible or effective.
Overview
The peritoneal cavity is a potential space within the abdominal cavity that is lined by the peritoneum. The peritoneum is a thin layer of cells that covers the organs within the abdominal cavity and also lines the walls of the abdomen. The space within this lining is the peritoneal cavity.
Intraperitoneal (IP) administration involves the injection of substances directly into this space. This method of administration is often used for chemotherapy drugs, antibiotics, pain medications, and anesthetics. It can also be used for the administration of fluids in patients who are dehydrated or have electrolyte imbalances.
Advantages and Disadvantages
There are several advantages to IP administration. It allows for a high concentration of the drug to be delivered directly to the site of action, which can be beneficial in the treatment of diseases such as ovarian cancer and peritoneal mesothelioma. It also bypasses the gastrointestinal tract, which can be advantageous in patients who have nausea, vomiting, or other gastrointestinal issues.
However, there are also disadvantages to IP administration. It can be more invasive and painful than other methods of administration. There is also a risk of infection, injury to the abdominal organs, and leakage of the substance into the rest of the body.
Procedure
The procedure for IP administration involves the use of a needle or catheter to inject the substance into the peritoneal cavity. The patient is usually lying down during the procedure. The skin over the injection site is cleaned and numbed with a local anesthetic. The needle or catheter is then inserted through the skin and into the peritoneal cavity. The substance is then injected into the cavity.
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Contributors: Prab R. Tumpati, MD