different error on pd dialysis claria machine

[Beachgirl32]

The other night I had a strange error it said check supply line reheating heater I have had check supply line but never reheating heater . It said there might not be enough fluid to finish therapy but there was still fluid in bag

So I put a pic on what I had to do to get back to fill it took me a couple of times before I got the fill and the machince first went to warming heater which took a little while before it went to fill and everything work fine.

Anyone else ever had this problem I figure I would put it on to let you know it can happen I know I never went over this in any traingin. My pd nurse has never seen it before.

[horsie63]

Not seen that one. I get the check lines every few weeks. Couldn't clear so called Baxter. First they had me yank on the lines coming out of the door. Then checked the drain line to make sure it wasn't in the liquid. Since I hadn't got past Fill yet but I pulled the line up some from the bucket and that cleared it and it started filling again.

Not covered in training and when I called the nurse the first time she just said call Baxter.

Don't know if it's related but Holy Hell last night during 3rd drain I had the most god awful drain pain. It was bad...I thought I was having a heart attack, couldn't breath and nothing I did stopped it. Almost woke up Barry to take me to the hospital. It was an 8 on the pain scale. Course when I told my nurse her comment was "Are you constipated?" I poop multiple times a day I don't see how that could be it. So tonight I'm draining into a bag just to see if it's an infection. Course it doesn't hurt right now.

How have you been? Any word on the aneurism?

[RonZone in reply to horsie63]

Drain pain. Dang. That's really not fair since you have done so well without it. Every once in a while if my drain cycle starts while I'm lying on my back, I get a fairly substantial drain pain, but to fix it all I gotta do is roll over on my left side and it stops immediately. I'm getting used to waking up when i hear the machine start up and roll to that left side to eliminate all drain pain and most alarms. But I definitely feel for you in that instance where it hurt so bad. So can Beach, I'm sure. So what did you do to get it to stop hurting in the middle of the night. Sure hope you don't go through that again. I'm very lazy about checking my effluent for clarity. It just drains out of the machine into the tub that I never use and down the drain. I never see it unless I do like you say and put a bag on it to catch it for a kt/v test or something. It's been clear the times I've done those. Doing another one starting tomorrow, so I'll drain to a bag thursday night. I REALLY hope you don't have an infection. Keep us posted and alert your PD nurse that if you see any cloudiness in the first drain that you'll be calling for instructions on how to put the meds in for the next fill after you pause the machine before filling.

[horsie63 in reply to RonZone]

Nothing I did helped, it finally stopped. My nurse said the I can check the cassette to see if it's cloudy but its always clear. I hope to god that never happens again. I'm almost afraid to do my treatment tonight.

[RonZone in reply to horsie63]

So nothing you did helped stop the pain. That is NOT good. How long did the pain last? Ahh, check the cassette for cloudiness. Uh, not sure my machine will let me open the door until it's done. I'll have to try opening the door during a cycle to see if it will let me.

So how did it go last night? I totally understanding your being gun shy after that!

[RonZone in reply to horsie63]

Can you start dialysis early tonight so you can see effluent from the first drain before going to bed?

[horsie63 in reply to RonZone]

Well my bag was clear so no infection and no drain pain last night. Hope that kind never comes back. I'm so tired of the "are you constipated" question...every and any thing that's the first question. By this time if I was then it'd be a miracle.

[RonZone in reply to horsie63]

Hey, no infection is very good to hear. Who knows what made your catheter angry like that. Probably just a positioning problem where it got against something in there that was very sensitive. I need to learn more about my own anatomy to see what that thing might be bumping up against And yeah, EVERY time I speak about my cycler alarm issue I get the same constipation question.

[Beachgirl32 in reply to horsie63]

I have had migrane every day lately . I am getting sick in the morning lately it like dry heaves I have to sit up awhile for it to go away . Pd nurse said she doesn’t think it dialysis she said that should have happen when we first did a change in my dialysis I was fine . She said it could be from the migraines and dialysis can be aggravating my migraines . Neuro said the headaches could be from the aneurysm it may be pressing on something. I don’t see the neuro radiologist until June 30 I hate having to wait but I know if they want to do a coiling right now I don’t feel healthy enough so maybe by the 30th I will.

[horsie63 in reply to Beachgirl32]

I used to get migraines once a month for the week I had my period. My mom had them and my daughter has them bad.

We don't have a heater set up like yours. Every night at 7 pm I do my vitals and then set up with the machine turned on and my bag on top of the heater unit. When I go to do the actual treatment one thing I do is put my hand on the bag to make sure it's warm enough. Not had a problem there.

Any more if I get an alarm, it just won't clear using the steps in the manual so I just call Baxter. I was pleasantly surprised last night when they answered right away.

[RonZone in reply to horsie63]

I mentioned to Beach. I can't imagine what you and your daughter an all feel like with those migraines. I've never had a headache, not even a tiny one. Oh wait, except for the time in the third grade when I thought it would be cool to jump from the top step of the school bus out the door. One of those great impulse things kids do. When I jumped, I hit my head on the top of the school bus door frame, then fell backward and hit the back of my head on the bottom step. Yep, that did hurt, so i guess that would count as a "headache" of sorts, though self inflicted.

Yeah, I thought your set up for the heater bag was different. And yes, ever time I've called Baxter(like when my first cycler died after one week of use), they were Johnny on the spot, which is good to know. Though the guy I spoke with said he has an issue with Baxter in that they give them a machine to train on, but once the training is over, they take it away, so they don't have an actual machine they can help troubleshoot on, just the manual and their own memory of what they learned during training and what they learn from patients who call in.

[RonZone in reply to Beachgirl32]

Oh my gosh, you poor girl. I can't imagine what a migraine feels like. And yeah, my dad used to get those dry heaves with bad headaches. I've got kidney failure and other things, but in all my life I've never had a headache. Not even a little one. I feel fortunate in that respect compared to folks like you who have to live with that pain. i hope you get the dry heaves and the headache source figured out and done away with soon! That is a long time to wait for that test.

[Beachgirl32 in reply to RonZone]

yeah it the pits and I have no appetite . They told me I would probably gain weight on pd but I been so sick on and off I have lost like 15 pounds since I started.

I was able to get an appointment with my family doctor for tomorrow morning hopefully he can address these dry heaves . I really think it may be from dialysis but the pd nurse. Said it should have started right away not two weeks after but my body never does the usual I have heard so many times medically I am complicated I just want to. Feel good.

[Beachgirl32 in reply to horsie63]

yeah I had drain pain like that a lot time I have to sit up through the whole drain cycle I have had to bypass it when it was extremely bad on the 3rd or 4 cycle usually when it hurt like that you are almost empty . You can’t bypass intanial drain but other you can . I have been on the floor crying in pain before and yes they always ask if you are constipated. I haven’t had it that bad in awhile I think my catheter finally move to a different place.

[RonZone in reply to Beachgirl32]

I'm sure glad your drain pain has diminished a good bit. I still have some when I'm not in the proper position during the drain, but when I'm in the position that "Amy" likes, it doesn't bother me. And yeah, think the catheter does move around in there a bit. With constipation or not.

[horsie63 in reply to Beachgirl32]

I haven't figured out how to do the by pass. There's a lot of steps and some warning in the manual but I hate turning the light on so I can read it. I've a flashlight on my phone so we'll see if that helps.

[RonZone]

That's a new one on me as well. Now before my machine does a "Fill" it goes through a "warming" stage. Sometimes the first fill is delayed for a bit while it finishes "warming". And i hear the machine come on about 30 minutes before a fill, I assume it's filling the bag in the heater and going through the warming process before the next fill. It doesn't tell me what it's doing just still says "Dwelling". I assume all the machines are similar in that they do the warming process before the fill. So in your instance for some reason the machine had not filled the fluid to be heated I guess, and wanted you to make sure the line was ok for it to do so. Wish these error messages were a tad more specific, but alas they are not. My heater on my machine is a little different from yours. I actually have a heater "bag" built into the cassette apparatus, so when i connect the fluid bag, the machine pumps fluid from the fluid bag to the heater bag and it's heated in that special heater bag which is about 2 liters. When you said there was still "fluid in the bag", are you talking about the original fluid bag or the bag that's being heated, or are they the same bag on yours? If so, yeah, that's an oddball error, unless it's fluid measuring device got confused.

[Beachgirl32 in reply to RonZone]

I had some fluid in both bags not a lot but little in each. This happen on the 3rd fill I do four cycle all together. So it was over half way done.

[RonZone]

That is so odd that it did this on the third cycle. What did you do this time to get that horrible pain to stop? Did everything go ok last night?

[RhenDutchess123]

Do you have fibrin in your catheter that you should use heparin ?

[RhenDutchess123]

It might be that you didn't break the plastic seal line of your solution bag completly...and it took a couple cycles to become completkey blocked

[Beachgirl32]

I’m in hospital again not in step down unit this time and they haven’t even did dialysis yet came in last night now it after 10 am I’m still throwing up the Bible seen like more I have high white. Count so infection they want to culture dialysis fluid they need to do dialysis first , last night in the Er they bought in little specimen jar they said can you drain your fluid in this I said it doesn’t work like that . They really didn’t know anything about pd dialysis in the er. To my knowledge my fluid been clear but infection has to be from somewhere I know I had a heck a lot of fibrin I had to use heaprin every night I they have gave me three rounds of. Antibiotics so far

[bumblebee_tuna in reply to Beachgirl32]

Oh no! lets hope it's not peritonitis 🙏

Get well soon! Do you have an emergency bag to take to the hospital? I would put a manual drain in there plus maybe a manual if not too heavy.

[Beachgirl32 in reply to bumblebee_tuna]

daughter came in. She said the culture they did from the dialysis bag does not look like peritonitis . She said they are still waiting on one more culture. I did not bring manual bags to hospital the pharmacy makes up the bags of fluid needed.

[horsie63 in reply to Beachgirl32]

Oh no. Perhaps you pick up some bug from somewhere if it's not peritonitis or your exit site. I'm still having that god awful drain pain on the last drain. Talked to my nurse and she suggested lowering the machine so we did that and no relief. I drained into a bag just to check and it's clear. She has me looking at the cassette when I'm done as that will show. Now I'm to get an abdominal x-ray.

It's weird it start near then end of my final drain, goes to end of therapy and then feels like my heart and lungs are being squeezed and it hurts so bad. I don't think it's air since I make sure I check the patient line before I connect just like they showed me. Some one suggested to prime twice but I'm not sure the Claria can do that. I'll have to call Baxter after I get home and check the manual.

I hope they find the cause of the low white blood count and you get better soon.

[bumblebee_tuna in reply to horsie63]

Did you try tidal modality?

[horsie63 in reply to bumblebee_tuna]

Yes for months now.

[bumblebee_tuna in reply to horsie63]

Yes maybe an x-ray will show something. Do you know what kind of catheter you have?

If it's just the final drain, can you do a tidal with a last fill? and then drain it manually a couple of our later.

Even on a manual drain I can feel a slight pinch at the end of drain from the suction, and a machine will have it higher.

[horsie63 in reply to bumblebee_tuna]

have no ide how to do that on the Claria

[bumblebee_tuna in reply to horsie63]

There has to be an option to add a last fill / day dwell, it's a pretty common thing to do.

[Beachgirl32]

did your nurse say you could bypass when the pain to bag that what my pd nurse said to do don’t do it all the time. Did you put heparin in your bag sometimes that can make the drain pain hurt worse. I don’t recall you can prime again on claria

[horsie63 in reply to Beachgirl32]

In order to do the heparin I need to go to the clinic and that's not feasable at 3an, First thing when I get home is to check the manual and then call Baxter about it. I'll write down what he says and put it here.

[Beachgirl32 in reply to horsie63]

you can have the center set you up with heaprin and needles they came from welldyne

[horsie63 in reply to Beachgirl32]

she showed me once briefly how do it so I’d need a refresher. Monday we’re driving up to KC to do an audit and I’ll be gone all week

[Beachgirl32 in reply to horsie63]

BypassAn option you can select to move on to the next phase of your peritoneal dialysis cycle. Bypass can only be selected when (STOP) is pressed. Check with your dialysiscenter to learn when it is safe to bypass. Some therapy or alarm conditions cannot be bypassed

[Beachgirl32 in reply to Beachgirl32]

your pd nurse can put an order in and heaprin to send to your house the company welldyne will send it. All you have to do for bypass push the arrow down it will say like drain dwell differnt thing until you get to bypass I can’t remover if I hit stop before I scroll down to find bypass after bypass this press start it will then go to fill i. It in your pd training book.

[horsie63]

okay on Monday I’ll contact her…she was off today and it’s the weekend

[Beachgirl32 in reply to horsie63]

I’m home from hospital they could not figure out where the infection was coming from everything with my pd fluid was fine. They are saying I may had some type of weird virus my white count came down after the rounds of antibiotics. I’m exhausted and don’t have stenght so I hope I can build it up .

[horsie63]

I’m so sore you are going through this. They changed my prescription in the machine and that seems to have done it. Appears my final drain was longer than the other so he shortened it.