I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: sullidog on August 06, 2010, 07:07:20 PM

Title: KT over V 2.1!
Post by: sullidog on August 06, 2010, 07:07:20 PM
Has anyone ever had good clearences like this?
My clearence is 85 percent with a KT over V of 2.1!
It's good dialysis, but I'm still tired, it's good to know I'm getting good dia;lysis though!
Troy
Title: Re: KT over V 2.1!
Post by: tito on August 07, 2010, 10:56:32 AM
Congratulations Sullidog!!!

I just had mine done and got a result of 2.2 - the highest it's ever been for me. I'm on PD but a "slow transporter", so we've been trying to fine tune the prescription for quite some time. I need slow dwells, and actually four manual exchanges a day are ideal for me, but I teach and cannot do it at school. So I use the cycler with two long dwells, then a manual exchange around 3pm when I get home. This did the trick!!

When I was just in the hospital for hip replacement (see posting "surgery nightmare"), I had a crackpot nephrologist hounding me that PD was not working and that I had to change to HD. They even had restricitons on taking blood and blood pressure from one of my arms. I fought him off and prevailed - only to get an excellent Kt/v. Hear that Dr. Ercolani????

Sullidog, keep up the good dialysis!
Title: Re: KT over V 2.1!
Post by: Jie on August 07, 2010, 05:56:49 PM
PD Kt/V is not comparable with HD Kt/V...
Title: Re: KT over V 2.1!
Post by: RichardMEL on August 08, 2010, 08:52:27 PM
agreed. I do HD and my Kt/V last session was 1.32 yet my clearance is a healthy 75%. I'm not too fussed since I know my dialysis is  going OK. I've been going at a slower pump speed(300 vs. 350/370 I used to run at) and I believe that is chiefly responsible for the lower Kt/V. I have been getting uncomfortable hot flushes running faster for reasons that are yet to be determined, so I have decided I prefer a comfortable, decent treatment over a higher number..... because let's just face it, it's a number.

Having said that, getting 2.1 with an 85% clearance is freakin awesome!!!! Congratulations!!! :)
Title: Re: KT over V 2.1!
Post by: Zach on August 09, 2010, 09:16:17 AM
With hemodialysis, a Kt/V well over 2.0 might indicate recirculation of the access blood or the person drawing the sample incorrectly using the venous port (blue) instead of the arterial port (red).

8)
Title: Re: KT over V 2.1!
Post by: sullidog on August 09, 2010, 07:32:58 PM
Are you refering to a catheter? I have a graft.
Title: Re: KT over V 2.1!
Post by: Zach on August 09, 2010, 07:53:39 PM
Are you refering to a catheter? I have a graft.

I'm referring to the ports on the blood lines, not the access tubing.

8)