I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: F.A.Q. (Frequently Asked Questions) => Topic started by: Brightsky69 on September 09, 2009, 11:52:58 AM

Title: What is adequacy??
Post by: Brightsky69 on September 09, 2009, 11:52:58 AM
I just got an email from my PD nurse and she said my adequacy is 1.99 and my phos is up. I am not sure what she means by adequacy and is 1.99 bad??

The phos being up is my fault.....I fell off the wagon more than a few times in taking my binders. I am bad on track though!!   :boxing; :thumbup;
Title: Re: What is adequacy??
Post by: paul.karen on September 09, 2009, 12:13:28 PM
Im not 100% sure?
But i am doing my KT/V tomorrow and if i recall correctly i am hoping it will come back @ about 1.99 or two.  If im right your numbers adequacy at least is solid and good.
Im sure someone will come along and agree or set us both right shortly.
Title: Re: What is adequacy??
Post by: Brightsky69 on September 09, 2009, 12:24:06 PM
I am not sure...she said she wants me to come in next week because they are going to "adjust" my RX.

I don't know if that is good or bad. I am already doing 9 hours on the machine. Ugh!


 :popcorn; cute little guy eatting pop corn...love it!
Title: Re: What is adequacy??
Post by: dh514 on September 09, 2009, 06:02:49 PM
Anything under 2.0 is not acceptable at my clinic. Mine is currently 1.89 and they are not happy.
Title: Re: What is adequacy??
Post by: Brightsky69 on September 10, 2009, 05:50:13 AM
When I told my nurse I wasn't sleeping well...she said something about making me use more dialysis fluid during exchanges.
I already feel like a stuffed pig and now they want to add more fluid.  >:(
Title: Re: What is adequacy??
Post by: billybags on September 10, 2009, 07:09:59 AM
My husband has been on hemo for about 6 weeks now and they say he is not doing to good on it. In England they hope for at least 1.25kt/v and his is only .95kt/v or .89 which is not very good. When he was on PD he was doing a lot better and felt a lot better it was up to 2.16kt/v He is hoping to get a new tube fitted in the next 3 weeks.
Title: Re: What is adequacy??
Post by: Restorer on September 11, 2009, 09:00:55 PM
At my clinic, the adequacy (Kt/V) they want is 2.0 or higher. How much fluid are you using per exchange now? I used to feel full on 1400 (my prescription was 1200) and the adequacy test showed my Kt/V to be around 1.4. Over a few weeks I managed to work my volume up to 2000, and started an evening exchange of 1500. That brought my Kt/V all the way up to 2.14.

If you're at 1.99, it probably won't be hard to go a few tenths of a point higher. Another 100-200 ml per fill could do it, or adding an exchange during the day could do a lot more.