CCPD (last fill only 500ml for day dwell)pt had shoulder pain and felt due ot air in line, assessment of effluent clear per pt. I feel poss. slightly hazy (not a for sure cloudy)(hard for me to tell due to only 500ml in drain bag) pt off and on reports abdomen soreness only mild. PD Cell count noted WBC 219 with neutrophils only 10. Lymphs 6, eosinophils 0, Mesotheial cells 8, and monocytes 76. Pt still working and not affected by it. Treating her as if she has peritontis but does she really. Do I count this as an infection. Gram stain and cultures with no growth after one day. She is not a diabetic.I was also wondering about the elevation in monocytes instead of the neutrophils. Please advise.Thanks!
RESOLVEDCarla M. answered December 16, 2009
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 I have the article"Establishing a Successful Home Dialysis Program" by Diaz-Buxo,Crawfore-Bonadio &Pierre(2006) which I am using as my guideline in setting up a brand new Home Program.Are there any words of wisdom or research evidence based articles from ISPD in trying to accomplish such a monumental task? The nephrology group(6 members) that I work with do not seem understand the needs for one or two primary nephrologists who are dedicated to the Home Program. Thank you
OPENKaren T asked December 8, 2009
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 I have the article”Establishing a Successful Home Dialysis Program” by Diaz-Buxo,Crawfore-Bonadio &Pierre(2006) which I am using as my guideline in setting up a brand new Home Program.Are there any words of wisdom or research evidence based articles from ISPD in trying to accomplish such a monumental task? The nephrology group(6 members) that I work with do not seem understand the needs for one or two primary nephrologists who are dedicated to the Home Program. Thank you
OPENKaren T asked December 8, 2009
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 I have been a PD patient both in the UK and US. In the UK patients do not wear masks when connecting and disconnecting, in the US, the guidelines are that they do. The only difference that I can see is that in the UK patients are provided with sterile disposable connection shields with povidone iodine soaked foam in them that remain on during the dialysis process. I must admit that I do not wear the mask, have been dialysing for six years and have had no infection issues.
RESOLVEDAmanda, W answered September 28, 2009
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 I have a patient with ESRD and has been on the APD for the past 3 years. He has good residual renal function and the urine is more than a litre per day. He is well dialyzed, biochemically and clinically. He has good QoL. The function of tenckhoff catheter is good. Abdominal XR showed catheter tip in the pelvis. No alarm triggered from the cycler. The problem is there is no net ultrafiltration from the nightly PD (negative UF). He remains in euvolaemic state, with normal BP. PET is of high average. Shall I be overly concerned of the negative UF?Follow up to the question and answer given by Z from Australia. The patient is on nocturnal PD with dry at the daytime. Negative UF ranging from -400 to 600 cc per night of PD
RESOLVEDBee BC answered July 8, 2009
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