I fell asleep after the second fill and woke up at ~4:00 am. That means second fill of ~1250 mL was in my abdomen for about 3.5 hours. The drain dialysate was less red but still pretty pink from blood in the abdomen. I can’t tell if it was still flushing the remaining blood from previously, or if there was more bleeding. I pooped again after second fill but didn’t feel like I was pushing that hard. Total UF for the two fill/drain cycles came out to 0.495 kg or ~500 mL. That’s typical for about 2500 mL of 2.5% dextrose dialysate per my experience.
I think I will flush a few more times without dwell using 1.5% dextrose. I want to see if the bleeding continued. I can fill then drain right away to minimize dialyzing and UF. My PD nurse also said flushing in cool dialysate will help close any bleeding sites. I don’t want an infection so close to getting the catheter removed.
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OK, I flushed through about 2500 mL of dialysate over two fill/drain cycles and the drained fluid was a much lighter pink. I think the bleeding has stopped and I’m just flushing residual blood out of my abdomen. Today is Thursday so I have another three-day “weekend” from hemodialysis so I’ll probably flush again Monday night just before Tuesday’s dialysis session and vascular surgeon appointment.
It’s about 5:30 am now. I’m going to try and get two hours of sleep before getting up for hemodialysis.
Life with chronic diseases 