Volume per exchange and number of exchanges: | ||
BSA ≤1.7/m2 | BSA >1.7/m2 | |
If eGFR >7 mL/min/1.73 m2 | 750 mL four cycles | 1000 mL five cycles |
If eGFR ≤7 mL/min/1.73 m2 | 1000 mL six cycles | 1250 mL six cycles |
Total cycler time: | ||
Four cycles - Minimum of 5 hours | ||
Five cycles - Minimum of 6 hours, 40 minutes | ||
Six cycles - Minimum of 8 hours (staffing and time permitting) | ||
Solution: | ||
1.5% dextrose dialysate, if no peripheral edema or shortness of breath | ||
2.5% dextrose dialysate, if edema or shortness of breath | ||
4.25% dextrose dialysate, if prescribed by treating physician | ||
Special instructions: | ||
All exchanges are to be performed with the use of a cycler in supine position | ||
Have patient use bathroom before being connected to cycler | ||
The patient should remain supine while dwelling any fluid | ||
If the patient needs to sit up or stand, he/she will have to be fully drained | ||
If patient has a cough, call clinician for a cough suppressant | ||
Tell patients to avoid straining; if constipated, call clinician for laxative | ||
Instruct patient to wear loose clothing | ||
Eating during dialysis should be limited to the drain phase of exchange | ||
If patient has severe volume overload, call clinician for high-dose oral diuretic and 4.25% dextrose dialysate |
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