I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: sullidog on September 17, 2012, 06:11:12 PM

Title: KT over V question
Post by: sullidog on September 17, 2012, 06:11:12 PM
About a year ago when my access was newer I ran 3 and a half hours and my KT over V was around 2.1 and sometimes hier, now I run that same amount of hours but my KT over V is consistant around 1.4 which is within normal range still but I'd like it to be hier. My question is does the age of the access cause the KT over V to change? I run a pump speed of 450 and my graft is about 2 and a half years old. I'm not getting any alarms on the machine so I'm guessing my access is ok? Also since I do want my KT over V hier how do I convence my doctor to give me more dialysis? or is there something that should be fixed first before trying to raise my KT over V by increasing my time. I'd like to be where I use to be around 2.1 or hier than 1.4. My neph doesn't like to change stuff unless it's below normal. I can tell I'm not clearing as good because I tire easy and that metal taste is in my mouth between my dialysis but will go away as soon as I have dialysis and I follow my diet very well so I know it's not that.
Thanks.
Title: Re: KT over V question
Post by: MightyMike on September 17, 2012, 06:30:45 PM
It was probably better at the time because you still had more regular kidney function left.  Even though your on dialysis your kidney function still decreases over time.  I wouldn't be concerned 1.4 is good no need to worry.  If your concerned though you can always increase your time on the machine from 3 1/2 to 4 hours or ask them to use a bigger filter.  Have you notified your doctor about the taste in your mouth?  It could be from one of your medications.  I used to take lunesta to help me sleep and that gave me a metallic taste.  Best wishes.
Title: Re: KT over V question
Post by: noahvale on September 17, 2012, 06:50:06 PM
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Title: Re: KT over V question
Post by: Rerun on September 17, 2012, 06:53:26 PM
If I were you I'd see my vascular surgeon and get an ultrasound on your fistula.  It may have a narrowing.