I just have to ask this question. I think (hope) I know the answer but after asking around at work am not sure. Here goes.
I work LTC. I have an 85 year old female resident that has hemodialysis 3x week. She does not urinate. She is on Lasix, 30mg BID R/T CHF. In a person with normally functioning kidneys the fluid is excreted through urination, weeping etc. Well, this resident does not urinate and there is no weeping or any excess loss of fluid that I can see. So, my question is- Does the fluid come off in dialysis just like the other toxins that come off that accumulate from not urinating? She does not have any edema or other signs of fluid accumulation/loss. What happens to the fluid pulled off from the lasix in a dialysis patient?
Thank you for any help.
Yes, my renal pt is on Lasix 30mg BID. She isn't wheel chair bound so doesn't hide it in her sacral area. She's very trim, 5'8 and weighs 149 pounds. She only sleeps 2-4 hours at a time. She's "pleasantly confused" and wonders the facility most of the day/night (wears a wander guard). I haven't asked her dialysis nurse this question since I just started wondering about it myself the past few days. She has only been with us a short time and it just doesn't seem right. I will be in contact with her dialysis nurse first thing though.
Thanks for your help
Edited to add, she has been on dialysis for about two months now and has 15% kidney function.
Last edit by calmone on May 13, '06