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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 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
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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. asked July 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. asked June 3, 2010
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0 vote