{"id":5882,"date":"2020-12-28T14:33:59","date_gmt":"2020-12-28T14:33:59","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5882"},"modified":"2021-07-08T08:58:01","modified_gmt":"2021-07-08T08:58:01","slug":"balance-1-5-glucose-1-25-mmol-l-calcium","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/balance-1-5-glucose-1-25-mmol-l-calcium\/","title":{"rendered":"Balance 1.5% glucose, 1.25 mmol \/ l calcium – Peritoneal dialysis fluid uses, dose and side effects"},"content":{"rendered":"\n
\n\nperitoneal dialysis fluid <\/p>\n\n\n\n
1. What balance is and what is it used for<\/h2>\n\n\n\n
Balance is used in the purification of blood through the peritoneum ( the peritoneum) in patients with chronic renal failure. This type of blood purification is called peritoneal dialysis . <\/p>\n\n\n\n
2. What you need to know before using balance<\/h2>\n\n\n\n
Do not use balance 1.5% glucose, 1.25 mmol \/ l calcium<\/h2>\n\n\n\n
if you have severe potassium deficiency<\/strong> in your blood<\/li>
if you have severe calcium deficiency<\/strong> in your blood<\/li>
if you have a metabolic disease called lactic acidosis<\/strong> <\/li><\/ul>\n\n\n\n
Peritoneal dialysis should not be started at<\/strong><\/p>\n\n\n\n
changes in the abdomen or in the abdominal cavity that include:
injuries or after surgery,<\/li>
burns<\/li>
widespread inflammation is of the skin<\/li>
peritonitis<\/li>
non-healing exuding wounds<\/li>
umbilical hernia, groin hernia, or diaphragmatic hernia<\/li>
the tumor is in the abdomen or intestines<\/li><\/ul><\/li>
inflammatory bowel diseases<\/li>
tarmvred<\/li>
pneumonia, in particular, pneumonia<\/li>
blood poisoning caused by bacteria<\/li>
extremely high-fat levels in the blood<\/li>
cases of urinary intoxication in the blood that cannot be treated with peritoneal dialysis<\/li>
severe malnutrition and weight loss especially when adequate protein intake through food is not possible<\/li><\/ul>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Tell your doctor immediately<\/p>\n\n\n\n
if you suffer from pathological thyroid hormone overproduction<\/strong>. It may be necessary to use phosphate binders that contain calcium and\/or vitamin D.<\/li>
If you have too low calcium levels. It may be necessary to use phosphate binders that contain calcium and\/or vitamin D or to use peritoneal dialysis fluid with a higher calcium concentration.<\/li>
if your electrolyte content (salinity) decreases sharply due to vomiting and\/or diarrhea<\/li>
if you suffer from large kidneys (polycystic kidneys)<\/li>
if you have an inflammation of the abdominal cavity. This is characterized by cloudy discharge and\/or abdominal pain. The drainage bag with the cloudy dialysate should be taken to your doctor.<\/li>
if you have severe abdominal pain, swollen abdomen, or vomiting<\/strong>. This may be a sign of a condition called sclerosing peritonitis (EPS), a complication of peritoneal dialysis treatment that can be life-threatening.<\/li><\/ul>\n\n\n\n
Peritoneal dialysis can lead to the loss of protein you and water-soluble vitamins you<\/strong>. To avoid nutritional deficiencies, a good diet or nutritional supplement is recommended. <\/p>\n\n\n\n
Electrolyte (salt) balance, kidney function, body weight, and nutritional status will be checked by your doctor.<\/p>\n\n\n\n
Other drugs and balance<\/h2>\n\n\n\n
Talk to your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. <\/p>\n\n\n\n
Peritoneal dialysis may affect the effectiveness of other medicines and your doctor may need to change their dosage. This is especially important for:<\/p>\n\n\n\n
cardiac medicine<\/strong>, eg digitalis. Your doctor will check your blood potassium level and take the necessary action if necessary.<\/li>
medicines that increase urine production e.g. diuretics ( diuretics ).<\/li>
medications are taken by mouth and lowering blood sugar or insulin. Your blood sugar level should be measured regularly. Diabetics may need to adjust their daily dose of insulin<\/li><\/ul>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before using this medicine. There is insufficient information on the use of balance during pregnancy or lactation. If you are pregnant or breastfeeding, only use balance if your doctor deems it absolutely necessary.<\/strong><\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
balance has no or negligible effect on the ability to drive and use machines. <\/p>\n\n\n\n
3. How to use a balance<\/h2>\n\n\n\n
Always use this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure. <\/p>\n\n\n\n
Your doctor will adapt the method, how long and how often dialysis should take place and what volume is needed, and how long the solution should be kept in the abdominal cavity, to your needs.<\/p>\n\n\n\n
If you experience tension in the abdominal cavity, your doctor may reduce the volume of dialysis. <\/p>\n\n\n\n
Adults<\/strong>: The usual dose is 2000 – 3000 ml dialysis fluid four times a day, depending on body weight and kidney function. The solution is kept in the abdominal cavity for 2-10 hours, after which it is emptied.<\/li>
Children: The doctor adjusts the volume of dialysis fluid needed depending on the child’s tolerance, age,<\/strong> and body surface area. The recommended starting dose is 600 – 800 ml \/ m 2<\/sup> body surface area (up to 1000 ml \/ m 2<\/sup> body surface area overnight) four times daily.<\/li><\/ul>\n\n\n\n
The sleep safe or safe lock system must be used for this. Bag changes are automatically checked by the machine during the night.<\/p>\n\n\n\n
Adults: The<\/strong> usual dose is 2000 ml (maximum 3000 ml) per treatment period with 3-10 treatment periods during the night within a time period of 8-10 hours and one or two treatment periods during the day.<\/li>
Children: The<\/strong> volume per treatment period should be 800-1000 ml \/ m 2<\/sup> (up to 1400 ml \/ m 2<\/sup> ) body surface area with 5-10 treatment periods overnight.<\/li><\/ul>\n\n\n\n
Use only<\/strong> balance in the abdominal cavity<\/strong>. <\/p>\n\n\n\n
Only use balance if the solution is ready and the packaging is undamaged. <\/p>\n\n\n\n
balance is provided in a double-chamber bag. The solutions in the two chambers must be mixed before use according to the instructions. <\/p>\n\n\n\n
The liquid bag must first be warmed to body temperature. Heating must be done with a dedicated hotplate. The heating time for a 2000 ml bag with an initial temperature of 22\u00baC is about 120 minutes. More detailed information can be found in the operating instructions for the hotplate. Microwave ovens must not be used for heating due to the risk of local overheating. After heating the liquid bag, the bag change can begin. <\/p>\n\n\n\n
Preparation of the solution<\/strong>
Check the heated liquid bag (label, expiration date, that the liquid is ready, that the bag and outer casing are intact and that the welds are intact).<\/li>
Place the bag on a firm surface.<\/li>
Open the outer casing of the bag and open the packaging for the disinfection sleeve.<\/li>
Wash hands with a disinfectant soap solution.<\/li>
Roll up the bag, which is located on the outer cover, from one of the sides until the middle joint opens. The solutions in the two chambers are mixed automatically.<\/li>
Then roll up the bag from the top edge until the joint in the lower triangle is completely open.<\/li>
Check that all joints are fully open.<\/li>
Check that the solution is ready and that the bag is not leaking.<\/li><\/ul><\/li>
Preparation for bag change<\/strong>
Hang the liquid bag at the top of the drip stand, roll up the hose from the liquid bag, and place the flow selector in the holder. Roll up the hose to the drainage bag and hang the drainage bag at the bottom of the drip stand.<\/li>
Place the catheter extension in one of the two holes in the holder.<\/li>
Place the new disinfection sleeve in the second hole in the holder.<\/li>
Disinfect your hands and remove the plug from the flow selector.<\/li>
Connect the catheter extension to the flow selector.<\/li><\/ul><\/li>
Outflow<\/strong>
Open the clamp on the catheter extension. The outflow begins. Mode “\u25cf”.<\/li><\/ul><\/li>
Flushing<\/strong>
After the outflow is completed, turn the flow selector clockwise to the “\u25cf\u25cf” position. Flushing takes place from liquid bag to drainage bag (approx. 5 sec).<\/li><\/ul><\/li>