It is true that fat weight does not contribute to uremic state and both DOQI and uptodate recommend using ideal rather than actual body weight for determination of weekly KT/V. However, there are some people who are overweight but also have big muscles and not all their excess weight is fat. My own belief is an adjusted body weight similar to what is used in TPN calculations should be used for these patients. I would like Dr. Oreoupoulos to comment on this issue. What is the position of ISPD on this issue?
RESOLVEDali s answered September 16, 2010
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 I'm a patient on CAPD. I am short wasted and apparently have a small peritoneum as I can only hold 1.5L of fluid. Even with that, my stomach looks distended. It concerns me because I look at older people (I'm 44)who are much thinner than I am holding 2L and you can't even tell. If I have more than 1.5L my stomach gets extremly distended and it becomes very uncomfortable and hard to breath because there is so much pressure pushing up. ( I feel like I'm in my 40th week of pregnancy) I will be doing a PET soon and I did see your answer that the test is configured from having 2L of fluid. The day prior to the test I will be doing a 24hour urine (as I have pretty good residual function left) as well as collecting my bags to turn in for the creatine clearance. Will I have to use 2L the whole day before on all my exchanges or can I just use 2L the night before and 2L the day of the test?
RESOLVEDJanine, S. answered July 19, 2010
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1 answer
0 vote
 I've worked with PD in the hospital setting for 11 years, but in the last 2 years have worked in the chronic setting. While in the hospital, it was routine to flush newly inserted PD catheter with 1L of dialysate, however I was informed recent by my direct supervisor that a PD catheter should never be flushed with more than 500 mL per ISPD guidelines. When I research this information on your website, I did not find any information stating this. I only found where it stated that 500 mL was commonly used when flushing PD catheter. Could you please provide some information based on this. I failed to mention that we have a doctor order to flush catheter with 1 L of dialysate
RESOLVEDT.S. answered July 19, 2010
1470 views
1 answer
0 vote
 I’ve worked with PD in the hospital setting for 11 years, but in the last 2 years have worked in the chronic setting. While in the hospital, it was routine to flush newly inserted PD catheter with 1L of dialysate, however I was informed recent by my direct supervisor that a PD catheter should never be flushed with more than 500 mL per ISPD guidelines. When I research this information on your website, I did not find any information stating this. I only found where it stated that 500 mL was commonly used when flushing PD catheter. Could you please provide some information based on this. I failed to mention that we have a doctor order to flush catheter with 1 L of dialysate
RESOLVEDT.S. asked July 17, 2010
1264 views
0 answer
0 vote
 I’m a patient on CAPD. I am short wasted and apparently have a small peritoneum as I can only hold 1.5L of fluid. Even with that, my stomach looks distended. It concerns me because I look at older people (I’m 44)who are much thinner than I am holding 2L and you can’t even tell. If I have more than 1.5L my stomach gets extremly distended and it becomes very uncomfortable and hard to breath because there is so much pressure pushing up. ( I feel like I’m in my 40th week of pregnancy) I will be doing a PET soon and I did see your answer that the test is configured from having 2L of fluid. The day prior to the test I will be doing a 24hour urine (as I have pretty good residual function left) as well as collecting my bags to turn in for the creatine clearance. Will I have to use 2L the whole day before on all my exchanges or can I just use 2L the night before and 2L the day of the test?
RESOLVEDJanine, S. asked June 3, 2010
1234 views
0 answer
0 vote