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