ivNow and Peritoneal Dialysis

Posted by Lauren Burke on

About Peritoneal Dialysis

Peritoneal dialysis uses the patient’s peritoneal membrane to filter waste out of the blood. It offers a benefit not available to those who undergo hemodialysis. The patient does not have to go to a clinic or hospital multiple times a week for treatment. With proper training, dialysis is done at home using one of two methods:

  • Continuous Ambulatory Peritoneal Dialysis (CAPD)
  • Automated Peritoneal Dialysis (APD)

Continuous Ambulatory Peritoneal Dialysis works without a machine and allows the patient to go about normal activities during the process, which is done multiple times during the day. Automated Peritoneal Dialysis uses a device to deliver and drain the fluid while the patient sleeps. Patient training for both takes about five days.

Solutions Used in Peritoneal Dialysis

Dialysis aqueous solutions come with either the sugar dextrose or the colloid osmotic agent icodextrin along with minerals. Physicians customize a formula for each patient using one of these elements. Typically the strength of the solution is 1.5 percent, 2.5 percent or 4.25 percent based on the needs of the patient.

Soft bags of solution also are available in different sizes including:

  • 1.5 liters
  • 2  liters
  • 2.5  liters
  • 3  liters

The size bag is at the discretion of the physician.

Effective Warming Techniques

Warming solutions not only make this kind of dialysis more comfortable for the patient but also plays a role in opening up the peritoneal vessels for better urea clearance.  Without the right tools, warming dialysis solution is a challenge. It requires dry heat to protect the sterility of the process. Without it, there is a significant risk of peritonitis and other forms of infection.

Managing the temperature is another obstacle. If the solution is too hot, it can cause damage to the patient. Too cold and the process is less effective. Often patients rely on a microwave to heat solution, but that can lead to hot spots and the need to rewarm. Warming blankets are another possibility, but they take time to work and are difficult to regulate often leading to overheating of the solution.

The more practical option is the use of a warming device like the ivNow warmer from Enthermics. With ivNow,

  • There are no hot spots
  • The fluid stays warm until needed
  • Warms 1L iv bags in 20 minutes or less

Warming devices like this also are a convenient way to manage solution temperature. The ivNow warmer sits on a tabletop, a stand or can attach to the wall. It can also come in a 3-pod configuration that warms 140 liters in a 12 hour period and has a digital display that shows the exact temperature of each bag.

Waste is a common problem with warming units, but the ivNow product records how long each bag warms. After 14 days, it alerts the patient or staff member to discard the solution, reducing the risk of bacterial infection and contamination.

Contact us to find out more about Enthermics ivNow warmer.

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