leg cramps

[Anonymous]

I have a pt who is having leg cramps at night, usually about the 3rd exchange in. He is on the cycler for 8 hours. He doesn't seem to be taking off too much. His K levels are good. It always seems to happen about the same time. Any thoughts?

[Anonymous]

Cramping is usually the result of removal of fluid from the vascular space. Some patients are more sensitive than others. He may want to try using more 1.5% bags to minimize ultrafiltration. You didn't mention if the pt. is taking anything for the leg cramps. The usual oral meds are Quinine or vitamin E at bedtime prior to dialysis. He may want to try drinking some fluids too.

[Anonymous]

He does use Quinine; helps sometimes, but not always. I haven't heard of Vitamin E though, maybe I will tell him to try it. Thanks.

[Beth Witten MSW ACSW]

Are you sure his dry weight is correct? Is it possible that he's gained "real" weight?