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?
RESOLVEDBee BC answered July 5, 2009
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 I was criticizedfor holding areconstituted bottle of antibiotic at a 35 degree angle.Effervesence of the antibiotic had forced air into the syringe when I withdrew most of the medication.I pushed the air back into the bottle without removing the needle, then withdrew the balance of medication.Sincethe full bottlewas injected into the dialysate,I didn't need to hold the syringeperpendicular tocheck the dose –right?I haven'tbeen able tofind proceduresor pictures.Canyou help?
OPENKaren S asked May 2, 2009
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 I was criticizedfor holding areconstituted bottle of antibiotic at a 35 degree angle.Effervesence of the antibiotic had forced air into the syringe when I withdrew most of the medication.I pushed the air back into the bottle without removing the needle, then withdrew the balance of medication.Sincethe full bottlewas injected into the dialysate,I didn’t need to hold the syringeperpendicular tocheck the dose –right?I haven’tbeen able tofind proceduresor pictures.Canyou help?
OPENKaren S asked May 2, 2009
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 i was diagonised with end 5 crf sept 07 comenced PD with no problems, good drainage ect. June o8 catheter blocked unable to dialysise for 6 weeks untill open surgery to unblock tube. Since then negative UF most days. My unit say this is because i have a lot of residule function remaining. But why has neg UF increased since last surgery and what is happening to the retained fluid? Is it being absorbed by my body, increasing my intake of calories?.(I no signs of overload, ie swollen ankles)I am a RGN with no professional knowledge CRF.I hope you can answer this query.Mary Hall=GalleyMary Hall-Galley
RESOLVEDHall-Galley M answered April 24, 2009
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 A QUIEN CORRRESPONDA: POR MEDIO DEL PRESENTE ME DIRIJO A USTEDES DE MANERA RESPETUOSA, ENVIANDO UN CORDIAL SALUDO DESDE LA CD DE PUEBLA EN EL PAIS MEXICO. MI PREGUNTA CONCRETA ES : ¿ALGUNO DE USTEDES PODRIA AYUDARNOS ENVIANDO UN ESPECIE DE INSTRUCTIVO DE LA MAQUINA HOMECHOICE DE BAXTER?. YA QUE POR FALTA DE RECURSOS FINANCIEROS OPTARON POR QUITAR A LAS PERSONAS ENCARGADAS DE DARNOS LA CAPACITACION, Y AL SER TANTAS LAS PERSONAS A TODOS SE LES ESTA DANDO LA MISMA TERAPIA. PERO NECESITO SABER COMO ENTRAR AL MENU DE ENFERMERIA. PARA ASI PODER CAMBIAR LOS PARAMETROS DE AJUSTE DE LAS CANTIDADES A INFUNDIR PARA LA DIALISIS PERITONEAL CON HOMECHOICE. EN SI COMO ENTRAR AL MENU, PARA CAPACITAR A LAS ENFERMERAS. YA QUE NOS URGE.OJALA QUE RECIBA UNA RESPUESTA PRONTA DE SU PARTESALUDOS Y MIL GRACIAS SU AMIGO DR CESAR TORRES MORALES MEXICO
RESOLVEDcesar torres m answered April 24, 2009
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 I was on PD for 2 years, then developed a problem when the cathiter rolled up behind my liver, and would not drain.They removed the cathiter and put a temporary connection for Hemo in my neck. When it was time to replace the cathiter, the surgeon would not do it because I had adhesions which he said he could remove, but they may come back in a couple of years. SO WHAT ?I am 74 years old so they won't consider me for transplant.My question:Where can I find aq surgeon to place a cathiter?Thanx Billy
RESOLVEDBilly O answered April 24, 2009
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