Last Thursday I attended my monthly Dialysis Team meeting. We went over my lab results and my doctor did her normal checking me over for obvious things.
Most of the conversation was about my Kt/V reading, and how it had not drastically responded to the last dialysis prescription. Recall, that it increased by 0.1 points to 1.8 from 1.7. We discussed increasing dwells to 6 from the current 5, with the last dwell occurring while I’m awake. A manual drain at some point would follow it during the day. Since there is doubt about the complete accuracy of my last PET and the resulting Transport Function, it was decided to conduct another PET before changing anything. I wrote an in-depth blog about PET that is at this link. Alternatively, you can use the blogs search function and enter either “Transport” or “Pet” to refer to blogs about these subjects.
The second subject that was discussed was my low blood pressure. One of the drugs I take for high blood pressure, Amlodipine Besylate had previously been reduced to a 5 mg cap from 10 mg. This time, we reduced my Irbesartan tab to 150 mg from 300.
Bottom line: More tests and more trial and error in an attempt to increase the efficacy of my dialysis treatment as measured by Kt/V. Ditto blood pressure.
Leave a Reply