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Author Topic: KT over V question  (Read 2150 times)
sullidog
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« 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.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
MightyMike
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Why do bad things always happen to good people?

« Reply #1 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.
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"The greatest pleasure in life is doing what people say you cannot do."
   -Walter Bagehot
==========================
December 2003 diagnosed with IgA Nephropathy 80% Function.
October 2004 started In-Center Hemo Dialysis Perma-Cath 5% Function.
September 2005 Living Related Donor (Mother) Transplant.
March 2009 Diagnosed CKD and IgA Nephropathy.
August 2009 Upper Left Arm Fistula.
November 2009 started In-Center Hemo Dialysis.
December 2010 started Home Hemo Dialysis.
January 2012 went back to In-Center Hemo Dialysis.
noahvale
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« Reply #2 on: September 17, 2012, 06:50:06 PM »

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« Last Edit: September 18, 2015, 05:12:34 PM by noahvale » Logged
Rerun
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Going through life tied to a chair!

« Reply #3 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.
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