Removal of ultrafiltration volume and treatment time

#1

I’ve been doing HHD for about 3 weeks, and I still don’t understand the process for setting my ultrafiltration removal yet. Does anybody have a step by step answer for me. If I am trying to remove 2Liters to reach my dry weight. Step 1 -?
Step 2 -?
Step 3 - ?
I am tired of being on the machine for 5 hours, when my treatment should only be 2 - 21/2 hours. HELP

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#2

Hi Yvonne, and welcome. If you are on Facebook, you will find that our Home Dialysis Central discussion group has almost 4,600 members, many of whom use NxStage for HHD and can walk you through the steps. In the meantime, I will tell you that removing 1L per hour sounds like a lot–certainly a maximum. Removing water gently helps your heart and all of your other organs to adapt to treatment better. How much water you remove is one question (and this can take some time to sort out. Do you still make a fair amount of urine? That’s an important factor). The other is how quickly you remove it. For this, we’ve built a calculator that can help you to see, for a given treatment, whether you are in the safe, green zone, vs. the yellow or red, where you risk harm. You can find that here: https://www.homedialysis.org/ufr-calculator.

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