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Save Your Fistula

Posted Aug 24 2008 8:01pm

We had a few alarms last night including one for the “Acid Pump Alarm” that I had not seen before, along with a few Venous Alarms. But 8 full hours so, no big complaints.

When my original Nephrologist suggested home dialysis to me, she talked about many benefits, but saving wear and tear on my fistula wasn’t one of them. In clinic, the blood pump speeds run anywhere from 400 to 500 depending on the clinic and the quality of the needling that day. At night, 200 is normal.

The higher speed is needed in the clinic to overcome the shorter duration – 4 hours vs. 8 hours at home. The total amount of blood processed is about the same. Today I was reading an article that once again makes me happy I’m on home dialysis. According to the author, increasing the blood pump speed leads to damage to the fistula over time. This is worth reading.

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