First night APD

[HealthySeicento]

First night APD for husband last night. All was going well machine set up no problem but at the end of the initial drain the pain of that final suction was too painful to bare and he had to abort and go back to manual dialysis. Anyone else gone through this? Waiting for APD nurse to call us back.

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Hi, your nerves gradually get used to the 'sucking'. Initially though I used the twist clamp to slow the flow down (don't close it fully as the machine can tel it is sucking against a closed line and alarm).

Now if a drain is painful (usually due to sluggish bowels or something) I use the plastic snap clamp on the machine line (the clamp nearest me) and squeeze it to reduct the flow (or clip it fully shut and listen to the machine noises for when it test the line - you will get to know the various sucks and hisses, and release it just before the 'line test' where it pushes a little fluid back to you.

I found that once the initial drain was over the following drains were much better, I hope the dialysis nurse can help as well, sometimes altering the fills etc on the machine can help e.g. tidal.

And a hot water bottle!

Good luck, it does get easier