Version June 2024
| 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 | ||
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