For weeks my weight has been in the 139.6 – 142.2 range with UltraFiltration ranging from 493 to 2072, all this while on 1.5% solution. The last couple of days things have drastically changed. In the last three days, my weight has been 142.0, 143.0, and 144.2. Correspondingly, my UF has been 28, 0, and 73. I am retaining fluid. But this begs the question why all of a sudden? Nothing has changed with my routine, exercise, diet, dialysis, etc.
To counteract this tendency, starting tonight I’m using a 2 L bag of 2.5% for my static fill. I’ll try this, and if this doesn’t bring my readings around I’ll start mixing in 2.5% 6 L bags as needed. Recall my reluctance to use higher solutions than needed is based on my dialysis nurse informing me that higher percent solutions are harder on your stomach lining and over time can cause the efficacy of the PD process to degrade – not a good thing. So it is my overreaching goal to stay as close to 1.5% as possible.
The whole point of this blog is not the nitty gritty of my dialysis prescription, but that while the steady state is a goal, it’s not easily achieved. Things change all the time in the Peritoneal Dialysis world. We have to adapt.
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