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Is It Alright To Have Hemo Dialysis While Being On CPD?

Posted on Mon, 6 Apr 2015

Question: ON CPD...CAN YOU DO ANYTHING WHILE dialysate in abdomen for 3 to 5 hours of dwell time.
Currently I have a fistula & receive dialysis 3 hrs. 3X's weekly, how often will it be if I switch to CPD???

Answered by Dr. Rakesh Madhyastha (48 minutes later)

Brief Answer:
CPD

Detailed Answer:
Hello

Thanks for the query

1. You can move around during the dwell time.
2. you will not require hemo dialysis anymore once you are on cpd

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (38 minutes later)

Will I need to do CAPD 3x's weekly for same amount of times (9hrs)???...as like HEMO???
Also, when my Peritoneal catherer is inserted will it be "UNIVERSAL" for either a XXXXX OR XXXXXXX Dialysis machine???
As a Nephrologist, what RECORDS,prescriptions, meds, etc. would YOU provide a patient traveling internationally

Answered by Dr. Rakesh Madhyastha (13 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back to me

1. You will have to do CAPD every day, not three times a week. Dialysis fluid should be put in and drained out atleast three times day
2. Peritoneal catheter will be universal. You will be able to use any dialysis fluid
3. I would recommend him to continue all his present medication. I also would ask him to infuse a higher concentration dialysate like 7.5% during the travel. This makes sure that the dialysis continues even during the flight. I would also see for the volume status and step up on the diuretics so that breathlessness does not occur during the flight.
4. Hypertensive control is the most important part in all of this

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (12 minutes later)

". I would recommend him to continue all his present medication. I also would ask him to infuse a higher concentration dialysate like 7.5% during the travel.

DO YOU MEAN 1 DAY BEFORE TRAVEL EACH WAY????
This makes sure that the dialysis continues even during the flight. I would also see for the volume status and step up on the diuretics ....

TAKE THE DIURETICS 1DAY BEFORE OR ON DAY OF TRAVEL????? I DON"T TAKE THEM DAILY.. ONLY IF I"M SWELLING???so that breathlessness does not occur during the flight. "PERITONEAL CATHERER GOOD FOR ALL DIALYSIS MACHINES????

Answered by Dr. Rakesh Madhyastha (3 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Hello

I am sorry if I was not clear the first time. I will try and make it simple

1. Using a higher concentration big ensures that you will not become breathless 'during' the travel. That is while you are in the plane.
2. That is exactly what i meant by 'volume status'. Which means that I would make sure that there is no swelling or just minimal swelling 'on the day of the travel. It is important that you keep diuretics with you. I prefer Torsamide, they are highly effective.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (3 minutes later)

SHOULD HIGHER CONCENTRATION BE GIVEN DAY BEFORE TRAVELING OR IN GENERAL WHILE ON TRIP???? WHEN????

Answered by Dr. Rakesh Madhyastha (5 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Hello

The higher concentration is given the day before the travelling.
If the travel is less than 8 hours, you can fill in the fluid into the peritoneum before you leave the house and drain it out once you reach the destination.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar