Weight restrictions for P D ???

[Bada_Bing]

Are there any wieght restrictions for getting  P D. I read somewhere, not here, that you can't be over 175 lbs.

[goofynina]

Hi Bada Bing,  When i brought up the subject of PD to my neph. he immediately told me it was up to the surgeon to determine if i was a good candidate for that. ( i am a large and in charge)   lol, anyways,  i went to the surgeon and he said it should be no problem, and thank goodness it has been almost a year and i havent had any problems thus far (knock on wood)  Please let me know if you have any further questions regarding this matter or any other matter in fact   Hope to hear from you soon!!! 

Goofynina

[rimbo74]

I'm 6'1" and 220.  My surgeon nor my doctor mentioned anything about having to be under a certain weight.

[BigSky]

I have never heard of a weight limit,  there is a guy in our unit that is thinking about switching to pd and he is in the 320+ range. 

[KICKSTART]

No never heard of it here either, the only time they seem to bother about weight , is regarding carrying to much fluid.

[MiSSis]

We did have a person (male) at our unit who had to switch back to Hemo from PD.  He was apparently not getting good enough dialysis.  He was a large person (over 300) but I'm not sure that his weight was the problem as much as it might have been non-compliance.  My PD nurse said that sometimes a larger person might have to do more dialysis (more exchanges or longer dwell times) and if the individual isn't willing or is unable to devote the time necessary, Hemo becomes the better alternative.

I'm 5'4" and about 125 lbs. but because of earlier episodes of peritonitis, I've got scarring that prevents me from exchanging well.  As a result my nightly PD treatment is 6 exchanges with 1 hr and 15 minute dwell times for a total of about 13 hours dialysis.  Even though it's time consuming, it's still the best alternative for me.

[goofynina]

MISSis, may i ask what is your fill volume?  mine is 3,000.  Just curious, we almost have the same kind of prescription time except i use 2 green and 1 red and i have 5 fills.  What are your U.F's like.  The reason i am asking is cuz i am quite "large" (ugh)   and was comparing. 

[MiSSis]

Hi Nina,

Sorry I haven't responded earlier.  I'm not a regular poster but just check in once in a while.  My fill volume is 2000.  I get my supplies from Fresenius and I almost always use 2-5L bags of 1.5% and 1-2L bag of 2.5%.  If I notice that my blood pressure is staying higher than normal or I've put on some extra weight (usually because I've eaten something too salty), I use 1-5L 2.5% and 1-5L 1.5% instead of the normal 2-5L 1.5%.  On a very rare occasion I've used 1-5L 4.25% but not very often because that seems to have a tendency to pull a little too much fluid and I get low BP and somewhat dehydrated.  Like I said, I only do that very rarely but I've had episodes in the past of Congestive Heart Failure so I use the higher concentrate when I start to feel a heaviness in my chest and seem to be having more trouble than normal catching my breath.  By that point I've usually been in contact with the dialysis Dr. and he's giving me the instruction to increase the dialysate concentrate. 

That's one of the things I love so much about PD.  Being able to manage things like that before I get into real trouble and end up back in the hospital.