Hi, when dealing with a hemodialysis patient with fluid restriction of 1000-1500 ml /day, is the fluid in food consumed (esp. those w/ high water content such as fruit and vegetables) considered as part of the fluid restriction?
I see recommendations for hemodialysis patients with that fluid range and wonder if that takes into account the fluid in foods or is it just for beverages?
Thanks for any help understanding this.
Quote from mrs.captain.kangaroo
Thanks for all the help. It seems pretty difficult and would require a lot of monitoring day to day with your diets and fluids.
25 years! I didn't think anyone could survive much longer than 5-10 years on hemodialysis?
survival on dialysis is 5 years, which means that many of these pts don't even live this long due to their comorbidities (uncontrolled HTN and/or diabetes leading to cardiac complications, CVA, or other problems). A few, however - the very compliant ones in general - do live much longer. We have a pt in the clinic where I used to work who has been on hemo for some 30 years (she chose not to get a transplant, she manages just fine on dialysis). There are a few others as well.
As for fluid restrictions, the dieticians help to explain this to the pts (how much they should drink based on their individual residual function - how much they still urinate - and other factors). They also suggest ways to cut fluid intake (e.g., ice chips). Nurses, of course, reinforce this teaching.
Fluid non-compliance is a huge problem for many pts, as pp pointed out. Nursing staff must explain the reasons for this; I like to use the garden hose analogy ("Picture your blood vessels as a garden hose. The more fluid it contains, the higher the pressure inside the hose/vessel. This increased blood pressure damages organs and causes the heart to enlarge and eventually fail"). Pts can usually relate to this (which doesn't mean they'll be compliant
Last edit by DeLana_RN on Apr 10, '08