Fluid
Restriction may be needed to prevent excessive fluid retention, depending on urine output. Impossible if salt intake high. Must count foods with a high fluid content (e.g. soup, ice cream, custard, gravy, jelly) in allowance. Difficult; aim to give practical tips: using smaller cups, sucking ice-cubes
Pre-dialysis
- Ensure adequate fluid intake (2-2.5L per day)
- May require restriction when nearing ESRF
Haemodialysis
- Varies depending on residual renal function
- Usually 500mls + PDUO
- Intradialytic weight gains of >2kg indicate excessive fluid intakes
Peritoneal Dialysis
- Varies depending on residual renal function and ultra filtration
- Tends to be less restricted than in haemodialysis