Fluid Overload in Peritoneal Dialysis Patients.
Volume management in peritoneal dialysis patients is of importance, as both volume overload and dehydration are associated with worse outcomes. When assessing volume status, it is important to understand that different techniques measure different fluid compartments (intracellular vs extracellular vs circulating volume) and the impact of cardiac function. Attention to salt restriction and diuretics can help to maintain euvolemia without need for hypertonic bags. Glycaemia should be monitored to avoid thirst. Dwell length should be adapted to transport status: short dwells for fast transporters, long dwells in slow transporters. The role of bio-compatible solutions on volume control remains controversial.
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Yong-Lim
YL
Kim
Renal Division, Ghent University Hospital, Ghent, Belgium. Electronic address: wim.vanbiesen@ugent.be.
Wim Van
WV
Biesen
D001786:Blood Glucose; D015314:Dialysis Solutions; D004232:Diuretics / Q000627:therapeutic use*; D045604:Extracellular Fluid; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010530:Peritoneal Dialysis / Q000379:methods*; D017673:Sodium Chloride, Dietary; D014883:Water-Electrolyte Imbalance / Q000517:prevention & control* / Q000628:therapy
D001786:Blood Glucose; D015314:Dialysis Solutions; D004232:Diuretics; D017673:Sodium Chloride, Dietary
bio-impedance, cardiac failure; peritoneal dialysis; volume overload