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Author Topic: PD training  (Read 3298 times)
Adam_W
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Me with Baron von Fresenius

« on: June 23, 2008, 12:47:00 PM »

I had my first "official" day of PD training today, and it went fairly well. My nurse showed me all the sterile procedures (most of which I already know from doing HHD for a year), she did a transfer set change, and flushed my catheter with about 150cc of dialysate. Only a little of it drained out, though, possibly because my body may have immediately absorbed it because I'm a little too dry. I also found out that I'll be getting my first shipment of PD supplies on Friday (oh, goody! Now I'll have to store both HHD and PD stuff for awhile.) My next training day will be Wednesday and I will fill with one litre  and do a 30min dwell. So far all is well, and I'll post updates as it goes.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
Joe Paul
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« Reply #1 on: June 23, 2008, 03:15:06 PM »

Glad things are working so far  :thumbup;
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"The history of discovery is completed by those who don't follow rules"
Angels are with us, but don't take GOD for granted
Transplant Jan. 8, 2010
KICKSTART
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In da House.

« Reply #2 on: June 24, 2008, 02:14:08 AM »

Good luck with the training , it wont take long before you can do it with your eyes shut !  :2thumbsup;
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OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
Adam_W
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Me with Baron von Fresenius

« Reply #3 on: June 25, 2008, 02:14:23 PM »

I had my first 1L dwell for 30min today. The fill went perfect, and it did feel weird having that fluid in me. We were concerned because when I went to drain, it wouldn't drain. My nurse had me change position and kind of press on my belly and suddenly a HUGE mass of fibrin shot out and I started draining perfectly. Oh geeze! I hope the cramping during drain goes away! My nurse is planning for me to be off of hemo by next Friday. With the nurse watching closely, I did every part of the exchange myself. All in all, a very good session.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
monrein
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Might as well smile

« Reply #4 on: June 25, 2008, 05:44:29 PM »

Glad to hear it's going well Adam.  Keep it up.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
KICKSTART
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In da House.

« Reply #5 on: June 26, 2008, 08:17:03 AM »

Adam ....just a note , the cramping you mention on drain , is actually more like tugging ,its when you get to the end of the drain . When you feel that start to come on , just stop the draining , most of us get it and it doesnt go away , but just mention it to the nurse and if she doesnt care , stop the drain at that point yourself , there is hardly any fluid left in by then anyway. Also keep an eye out for that fibrin , some people have problems with it , others dont ! .
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OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
rookiegirl
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« Reply #6 on: June 26, 2008, 01:57:00 PM »

Adam ....just a note , the cramping you mention on drain , is actually more like tugging ,its when you get to the end of the drain . When you feel that start to come on , just stop the draining , most of us get it and it doesnt go away , but just mention it to the nurse and if she doesnt care , stop the drain at that point yourself , there is hardly any fluid left in by then anyway. Also keep an eye out for that fibrin , some people have problems with it , others dont ! .

Adam,

I just wanted to tag my comments on what KICKSTART mentioned because I'm dealing with the same issue.  After 9 months for me, I still have pain at the end of my drain.  But, fortunately I've learned to time it correctly and stop my drain before the pain gets worst.

As for the fibrin, my first day of PD Trainining I too had fibrin.  My nurse used heparin in all the solutions that I was going to use for the day.  This worked and never saw another fibrin until a month ago.  So for 8 months I didn't have to use heparin.

Wishing you the best.

RG
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2000-Diagnosed IGA Nephropathy
2002-1st biopsy (complications)
2004-2nd biopsy
10/03/07-Tenckhoff Catheter Placement
10/22/07-Started Peritoneal Dialysis
03/2008-Transplant team meeting
04/2008-Transplant workup
05/2008-Active Transplant list
3/20/09-Cadaver Kidney Transplant
4/07/09-Tenckhoff Catheter removed
4/20/09-New kidney biopsy
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