Thursday, 07 July 2011 17:58

Getting more from the NxStage

Written by  Steve Bone
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A year old article, but a very interesting take on the value of short daily dialysis versus longer dialysis times and prescription changes outside the NxStage guidelines. In this article Peter Laird MD discusses how he has managed to improve his spKt/V from 0.5 to over 0.9 by increasing the dialysate to 40L, the dialysate rate and also using a higher flow fraction of 45%. I use 30L, FF of 35% and I am seeing a spKt/V of 0.66 consistently – it would certainly be interesting to be able to try different prescription rates and measure the impacts on my blood results. Currently my PO4 is dropping (thankfully) but I will still keep my rate of binders up in the short term. Ultimately the proof will be in how I feel, as well as  what the blood results say – that, after all, is what affects us all on dialysis. Pity those that abuse the in centre 3 day a week dialysis by not turning up, or doing shorter hours, don’t understand the impacts of their actions. Education!

Go here to read the full piece: a

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Steve Bone

Steve Bone

Hi, I'm Steve and have been a dialysis patient on some form of self-care or other since 1990. I've dialysed at home, abroad, in hospital, oh and had a transplant for 7 years. I work in the insurance industry for a City based business, but am very fortunate to be able to work from home 4 days a week. I hope, with my experiences, I can help others on dialysis or those facing dialysis in the future! It ain't so bad! Steve

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