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     I am trying to achieve a target of 1.7 for a PD patient who has Crohn's disease. Patient was a slow transporter back in 2010 ( was transplanted) but now upon return to PD is a fast transporter. Patient can only fill with 2L max. Currently is on Cycler for 5 cycles over nine hours – KT/V is 1.45. Patient does make urine last collection approximately 750ml and is on Lasix. I am thinking of keeping APD regimen the same but adding icodextrin for day dwell. Thank you.
    ANSWEREDSue answered October 16, 2020
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     With the recent outbreak of the coronavirus, I was asked by some of my colleagues on how to discard the PD effluent of patients suspected or confirmed infected? Since this is a novel virus, our knowledge is still limited. Reviewing our data on SARS virus, I did not come across in my readings of report that the virus is isolated in PD effluents. So is it safe to handle the PD effluent the same way as any infectious bodily fluid, which is to double flush it into the toilet or clinical sink?
    ANSWEREDRose, B. answered February 19, 2020
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     In the 2016 ISPD Peritonitis Recommendations Update on Prevention and Treatment on page 488 it is noted that the IP route is preferred unless there is also systemic sepsis. In case where IV antimicrobial therapy may be needed, what is a reasonable dose for imipenem/cilastatin ? This antimicrobial is not included in Table 6 on page 490. Ertapenem is but does not have Pseudomonal coverage. Possibly imipenem/cilastatin 500 mg IV q 12 is reasonable since ertapenem is listed at half of the normal dosing?Thanks for your time and consideration.
    ANSWEREDAndrea C answered February 11, 2020
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     When obtaining a fluid sample for culture, what process should be followed on disinfecting prior to collection of fluid?Do you recommend cleaning the tops of culture bottles with alcohol wipe prior to use? (similar to collecting blood cultures)Do you recommend cleaning sample port with only betadine or alcavis, or will alcohol wipe work as well? thank you!Is "clean catch" appropriate when collecting a sample? (pouring from drain bag into sterile urine cup)…– Just want to get this done the right way!
    ANSWEREDGwen answered February 10, 2020
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     We have a patient we will be training in November that only speaks Burmese. We do have access to a translator device for the training, however we were looking for some written patient education materials in Burmese for her to refer to at home if she has questions. We were looking for at least something discussing signs and symptoms of peritonitis, exit site infection, when to contact the clinic, etc. Does anyone have access to any training materials specific for peritoneal dialysis in that language? I have tried reaching out to several PD programs in more metropolitan areas thinking they may have a more diverse population they have trained, but all seem to only have Spanish information.
    ANSWEREDJulie Yordy answered November 1, 2019
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