My wife is on CAPD for over 2 years. She is doing well and is comfortable. Her ultrafiltration levels ranges between 1700-ml to 1900-ml per day. But now I see that her fluid levels in the body is low. She is also having low BP (90/60). Presently we are doing 4 exchanges per day (1.5% PD solution twice and 2.5% PD solution twice. Even then there is no gain in body weight. Could you please advise how to normalize her BP and increase her body weight. Her Albumin levels are around 4.
My wife is on CAPD for over 2 years. She is doing well and is comfortable. Her ultrafiltration levels ranges between 1700-ml to 1900-ml per day. But now I see that her fluid levels in the body is low. She is also having low BP (90/60). Presently we are doing 4 exchanges per day (1.5% PD solution twice and 2.5% PD solution twice. Even then there is no gain in body weight. Could you please advise how to normalize her BP and increase her body weight. Her Albumin levels are around 4.
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Sushant K Santra, Nurse from Hyderabad-India asked
My wife is on CAPD for over 2 years. She is doing well and is comfortable. Her ultrafiltration levels ranges between 1700-ml to 1900-ml per day. But now I see that her fluid levels in the body is low. She is also having low BP (90/60). Presently we are doing 4 exchanges per day (1.5% PD solution twice and 2.5% PD solution twice. Even then there is no gain in body weight. Could you please advise how to normalize her BP and increase her body weight. Her Albumin levels are around 4.

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⋅ Johann Morelle, MD, PhD ⋅ May 9, 2019

Thank you very much for your message and question. 
First, it is important to remind that we cannot substitute to the nephrologist taking care of your wife, and that clinical decisions should be made based on a thorough physical examination and correct knowledge of the medical condition of the patient.
Keeping this in mind, and from a general perspective, if an individual treated with PD shows obvious signs of dehydration and has a low blood pressure, it is probably wise to consider reducing the glucose tonicity of PD solutions (e.g., all 1.5% glucose), and to reduce/withdraw any diuretic she/he might take.
Best wishes,

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