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Author Topic: Are you receiving adequate dialysis? How's your Kt/V?  (Read 22938 times)
Dr. Evil
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...dialysis IS the miracle...
« Reply #50 on: October 10, 2006, 08:14:56 PM »
In fact, some make the argument to drop the V altogether, as we really can't measure the volume with any accuracy in any individual anyway.  It is all just a factor of the time and the kidney.

Always remember....the "Kt/V" as we keep using it here, is just for UREA clearance.  It is not the be-all, end-all factor that determines the adequate dose of dialysis.  You may be doing quite well as a larger person, but can not quite make the exact number the clinic (or medicare) wants.

In fact, larger wt people do better on dialysis, even with lower Kt/V....this holds true across all ages, even adjusting for other illnesses, etc.
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kitkatz
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« Reply #51 on: October 10, 2006, 08:43:39 PM »
Why do larger peoiple do better as a whole on dialysis?
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tubes
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« Reply #52 on: October 10, 2006, 09:14:30 PM »
I don't know mine. I asked on monday and didn't get a responce. So......All I know is it must be good because my time was lowered from 3hr/30mins to 3 hrs. I'm trying to get down to 2hr/45mins now.  Less time I have to spend there the happier I'll be.  ;D
I'm going to ask again tomorrow and make sure I get an answer.
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"To be happy is the choice I wish to make in spite of the circumstances that are strewn in my path."

1996 - started incenter hemo
a few months later, started PD
2005 - started incenter hemo
AGAIN
  - on transplant list as of August 7, 2009.
2011/June - 15 years on "D"
Transplant - Tuesday October 18th 2011
angieskidney
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« Reply #53 on: October 11, 2006, 05:43:04 AM »
Quote from: tubes on October 10, 2006, 09:14:30 PM
I don't know mine. I asked on monday and didn't get a responce. So......All I know is it must be good because my time was lowered from 3hr/30mins to 3 hrs. I'm trying to get down to 2hr/45mins now.  Less time I have to spend there the happier I'll be.  ;D
I'm going to ask again tomorrow and make sure I get an answer.
They don't know your kt/V for the day until you are done the 3 hrs. Because it is done over the whole dialysis time. They should have a projected kt/V in the machine though.
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nkviking75
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« Reply #54 on: October 11, 2006, 12:20:57 PM »
Quote from: angie
They don't know your kt/V for the day until you are done the 3 hrs. Because it is done over the whole dialysis time. They should have a projected kt/V in the machine though.

That would be cool, but our machines don't have that display.



EDITED: Fixed Quote tag error - Epoman, Owner/Admin
« Last Edit: October 11, 2006, 02:02:41 PM by Epoman » Logged
Fox_nc
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« Reply #55 on: October 11, 2006, 05:53:05 PM »
Cool!  Mine does look like that - I will check it out tomorrow!
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tubes
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« Reply #56 on: October 11, 2006, 06:14:26 PM »
Mine doesn't have that display either.  The doc was in today to visit.  I asked him about my Kt/V.  He said it was 1.70.   
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"To be happy is the choice I wish to make in spite of the circumstances that are strewn in my path."

1996 - started incenter hemo
a few months later, started PD
2005 - started incenter hemo
AGAIN
  - on transplant list as of August 7, 2009.
2011/June - 15 years on "D"
Transplant - Tuesday October 18th 2011
angieskidney
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« Reply #57 on: October 12, 2006, 02:41:18 AM »
Only Fresenius' 2008K (there are different models/versions .. the hospital's doesn't look like Self Care's) look like that.

If anyone else has a screen that shows it, you should post as well ;) heheh  :2thumbsup;
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diagnosed ESRD 1982
PD 2/90 - 4/90, 5/02 - 6/05
Transplant 4/11/90
Hemo 7/05-present (Inclinic Fres. 2008k 3x/wk MWF)
Ohio Buckeye
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« Reply #58 on: October 12, 2006, 11:28:27 AM »
My kt/v was 2.1.
I have to find out what my URR is.
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Zach
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« Reply #59 on: November 12, 2006, 09:22:05 PM »
Quote from: Ohio Buckeye on October 12, 2006, 11:28:27 AM
My kt/v was 2.1.
I have to find out what my URR is.


Ohio Buckeye, that's a great Kt/V!
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
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No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
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Rerun
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« Reply #60 on: November 12, 2006, 10:18:57 PM »
My KT/V is getting worse.  This time it was 1.13.  I'll look into what dialyzer I'm on.  I sure don't want to dialyze longer.
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Panda_9
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« Reply #61 on: November 12, 2006, 11:07:51 PM »
Is the nocturnal dialysis still an option for you rerun? It would certainly improve your kt/v a great deal.
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BigSky
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« Reply #62 on: November 13, 2006, 10:14:17 AM »
Quote from: Rerun on November 12, 2006, 10:18:57 PM
My KT/V is getting worse.  This time it was 1.13.  I'll look into what dialyzer I'm on.  I sure don't want to dialyze longer.

You might also check to see what dialysate flow rate they are running you at and if it could be increased also.
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angela515
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« Reply #63 on: November 16, 2006, 07:41:48 PM »
my kt/v for november was 2.40... however, my creatnine for Nov was 12.1, up from 9.0... so im hoping it goes down next month, or else there going to be adjusting my prescription again  :banghead;
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Rerun
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« Reply #64 on: November 16, 2006, 07:43:53 PM »
Quote from: Panda_9 on November 12, 2006, 11:07:51 PM
Is the nocturnal dialysis still an option for you rerun? It would certainly improve your kt/v a great deal.

If I would sell my house then I could move up to Spokane where the Nocturnal is available.
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