I have a new PD patient keep having negative UF 24H urine output <500mL and became fluid overloaded after5 days had to do 1 time back up hemodialysis (he still has a fistula/had been on ICHD for 2 years) , days after I check and did an initial membrane test and resulted to high transport type (cant do PET yet he barely started) , decreased dwell time around 1.5 hours 2 days after changes reviewed treatment still every cycle he has about 3/5 cycles still negative UFs, I had removed last fill on the second prescription change that I did because that made this pt overloaded and absorbs it after long day dwell, what prescription would you recommend?

Questions About PD

Kimberly Flores, Nurse from Odessa, TX asked
I have a new PD patient keep having negative UF 24H urine output <500mL and became fluid overloaded after5 days had to do 1 time back up hemodialysis (he still has a fistula/had been on ICHD for 2 years) , days after I check and did an initial membrane test and resulted to high transport type (cant do PET yet he barely started) , decreased dwell time around 1.5 hours 2 days after changes reviewed treatment still every cycle he has about 3/5 cycles still negative UFs, I had removed last fill on the second prescription change that I did because that made this pt overloaded and absorbs it after long day dwell, what prescription would you recommend?

1 answer

Eric Goffin from Belgium April 22, 2022

I would suggest icodextrin use (one or two consecutive bags/day) with >8 hrs dwell time

#1

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