Volume per exchange and number of exchanges: |
| BSA ≤1.7/m2 | BSA >1.7/m2 |
If eGFR >7 mL/min/1.73 m2 | 750 mL four cycles | 1000 mL five cycles |
If eGFR ≤7 mL/min/1.73 m2 | 1000 mL six cycles | 1250 mL six cycles |
Total cycler time: |
Four cycles - Minimum of 5 hours |
Five cycles - Minimum of 6 hours, 40 minutes |
Six cycles - Minimum of 8 hours (staffing and time permitting) |
Solution: |
1.5% dextrose dialysate, if no peripheral edema or shortness of breath |
2.5% dextrose dialysate, if edema or shortness of breath |
4.25% dextrose dialysate, if prescribed by treating physician |
Special instructions: |
All exchanges are to be performed with the use of a cycler in supine position |
Have patient use bathroom before being connected to cycler |
The patient should remain supine while dwelling any fluid |
If the patient needs to sit up or stand, he/she will have to be fully drained |
If patient has a cough, call clinician for a cough suppressant |
Tell patients to avoid straining; if constipated, call clinician for laxative |
Instruct patient to wear loose clothing |
Eating during dialysis should be limited to the drain phase of exchange |
If patient has severe volume overload, call clinician for high-dose oral diuretic and 4.25% dextrose dialysate |