THERAPY OPTIMIZATION4
These sample prescriptions are provided for informational purposes to achieve a minimum Kt/Vurea of 1.7. However, some patients may not meet the stated clearances. If measured clearance is less than predicted, it is recommended to ensure that the 24-hour dialysate and urine collections were done properly prior to instituting a change in prescriptions. Listed below are general guidelines to increase clearance if desired goals are not achieved.
CAPD
- Increase fill volume35,36
- For patients without residual kidney function, large Vurea and/or high transport type, a fifth exchange may be required (monitor for compliance and quality of life)4
- If a sixth exchange is required, consider APD therapy with daytime exchanges
APD
- Increase fill volume35,36
- Increase duration on cycler therapy (time and/or nighttime exchange number)4
- Add a daytime exchange4
- APD patients with significant RKF may not require a long day dwell4
- Anuric APD patients require “wet” days4
- High-transport patients usually require EXTRANEAL (icodextrin) PD Solution or two short daytime exchanges to sustain UF31
Please see Indications and Important Risk Information, including Boxed Warning for EXTRANEAL (icodextrin) PD Solution on page 43. See www.baxterpi.com for Full Prescribing Information.