I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: melobelle on April 19, 2010, 05:08:18 AM
-
I still urinate and when I first started dialysis, I would always feel way worse after dialysis. When I started getting unbelievable cramps one of the tecs mentioned, "too much fluid was taken off". I told them I still urinate and they shouldn't be taking ANY fluid off. I have to really monitor the nurses and tecs who hook me up. I make sure they ONLY take off what they put into me. Usually .50 or 500 ml. I really monitor this and as long as they don't take off any more fluid than they put into me I have NO MORE CRAMPING!
-
Comment: even if you still urinate some you may still be retaining some fluid. I still urinate a few hundred mils a day but obviously retain more so I need fluid taken off. Have you had a fluid analysis, either by BVM/crit line or the special scales that measure the % of fluid inside. It could well just be that your dry weight is set incorrectly and needs to be re-established. Of course some do not need fluid taken off if they are peeing out as much, if not more, than they take in between treatments, and if THAT is the case then definitely I agree just stick to the washback amount. Get your neph to verify this and put an order in to the unit that they only take off the minimum washback amount, if the neph feels that is appropriate.
-
I'm the same way, keep in mind even with an order my techs would always take more off, it took a lecture from my neph for them to finally listen.
Troy
-
I have to really monitor the nurses and tecs who hook me up.
Good for you for understanding this and taking charge.
-
What has made fluid management quite easy for me has been cutting way back on sodium. I consume no foods with added sodium anymore, except for a bagel or couple of slices of bread. I eat all meats and vegetables with no salt or added sodium whatsoever. I'm probably not getting more than 800 grams of sodium in my diet a day. The blood tests show that my blood sodium level is on the low side of normal, borderline hyponatremic.
And with that, even my damaged kidneys can still excrete nearly all the fluid. The amount they pull off at each dialysis session is minimal--never more than 1.1 kg, often less.