Kt/V is a measurement of dialysis treatment adequacy. When I was on hemodialysis, they never told me my number so I assumed I was getting adequate treatment. For PD, the minimal Kt/V value is 1.7. When I started PD, the first measurement came back at 1.68. Since I was so pressed for time, we decided to add the midday drain to my treatment which brought my Kt/V to about 2.0. This was good. However, my natural urine output has dropped consistently over the past few months so the reading from last week came back at 1.53, much too low. We did another measurement today to make sure but I think it won’t be much different.
Not sure what to do at this point. PD nurse gave me three options:
- Increase the volume of each cycle (currently 2400 mL)
- Increase treatment time to 9.5 or 10 hours
- Change to the 7.5% icodextrin solution for the manual fill; I would need to leave this in all day
I have an appointment with my nephrologist this week. We’ll see what she recommends.
Life with chronic diseases 