Fluid Control

I had difficulty sleeping last night due breathing issues again. Without weighing myself, I knew that I was going to be overweight at dialysis this morning. I ended up weighing 83.5 kg, which is not that high, but it is 4.3 kg above my ending weight on Saturday. That’s probably too much. I’m really only given about 1,000 mL of fluid intake per day. Over the three day break, I shouldn’t gain more than 3.0 kg. All this is from drinking too much fluids. I had a few cups from the fountain at work Sunday plus a bottle of orange juice. I also got a Box Combo at Raising Cane’s, which comes with a 22 oz. drink. There were also several dinners where my parents gave me some of their soft drink.

The tech and I decided to remove 3,300 mL of fluids today, which include the saline flush-back to make sure any blood in the dialysis machine is returned to me. The nephrologist doing rounds decided that my weight was low enough so we’re keeping it at 80.0 kg, but we’ll try for 79.0 kg on Thursday. I think the fluid balance is very sensitive since having an extra one to two liters of fluid can affect my breathing. On the flip side, my ankles have been cramping slightly over the weekend. That usually means that we’ve pulled out all the excess fluids. Who knows…

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