Ideal dry weight

[andreas]

Hi every im on dialysis for period of six months now,i didnt lost the ability to pee (i  pee regular 4-5 time a day with enough quantity  of urine, thats why i go to my next session dialysis with 100 to 300ml  to remove. The nurses they decide(or guess?) that my dry weight is 60kg, my question is why every i fiinish i feel dzzy and like drunken my head its heavy, by next day im  feeling ok, untill  next  time and so on.

EDITED:  Moved to correct topic.  Rerun, Moderator  

[cattlekid]

Hello Andreas,

As you stated in your post, dry weight is definitely a guess, there is no exact science to determine dry weight.  You should never be leaving your treatments dizzy and "drunken" feeling, this is a sign that they are removing too much fluid. 

I would demand from your doctor that your dry weight be increased, a little at a time, until you are no longer feeling dizzy after a treatment. 

I know for me, my dry weight has been increased almost two kilos since I started dialysis.  Once I started doing it at home, I regained my appetite and gained real weight so the initial dry weight was just too low.

Good luck!

[Rerun]

Dialysis is hard on your body.  It is pulling all the bad toxins off you in a short amount of time and it takes time for your body to even out and transfer whats left in your cells to your bloodstream to even you out.  You could try and have them give you 200 of saline back at the end and see if that helps but I'm thinking you are just feeling the affects of dialysis.

[jbeany]

You have the right to set your own treatment goals, too.  If you feel they are consistently taking off too much fluid, then it's time to take charge and decide for yourself.  It's your body, and you know it best.  Learn all you can, and start deciding how much fluid you want off each session.  Tell them what you have decided.  You may need to get pushy - some of them prefer you shut up and do what they say - but try hard to work with them first. 

[malaka]

My dry weight just got bumped up 1.5 kg today when the nephro passing by was stopped by the nurse who told him my post treatment bp was too low.  It is -- 70's over 40's--causing me to need iv salt water.  We'll see how this turns out.  Oddly, I think because I feel better on dialysis than I did before I started, I eat more.  Sure, I was filled with water before I started, but I do believe my dry weight has increased in the past six months.   

And, the doc speint all of 10 seconds changing my dry weight order.  It is not an exact science by any means.

[lmunchkin]

Good indicators of Dry Weight is BP & cramping.  If your BP drops and you have some cramping, then you can pretty much guess you have reached your dry weight.  When either of these things occur, ask your neph if you can put UF to -0- and use remaining time to remove toxins!  Your neph should instruct techs to allow it.   

I do Home hemo on my spouse with NxStage, and now, we just pretty much figure it in.  Hope this helps!

lmunchkin