PD Catheter Flush 1/2/2020

Since there was a lot of blood in the drained dialysate initially yesterday, I wanted to flush some solution through again tonight. This time I used 3000 mL of 1.5% dextrose solution split into two fill/drain cycles of 1500 mL. Since the 3000 mL bag of solution was designed for the automated cycler, I had to use several CAPD Disposable Disconnect Y-Sets to connect and drain the solution.

The first cycle was just a quick fill and drain, and the drained dialysate was very red again. I didn’t update yesterday’s blog post but I did flush another 2500 mL of 1.5% dextrose solution through afterwards so it was actually a total of four fill/drain cycles. Since the drained dialysate was pretty clear at the end, it means the bleeding has continued from yesterday to today. I let the second fill today dwell for about two hours and the drained dialysate was less red but still tinged with blood. Total UF was only ~100 mL.

The last time I had pink drain was when I was actively using peritoneal dialysis each night and it only lasted two days. I’ll probably flush it again tonight (1/3/2020) to see if the bleeding has stopped. Hopefully the drained dialysate won’t be bright red again.

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