baxter HomeChoice, Manual, Page: 313 / 377

18. Troubleshooting
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HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244
18.8 Increased Intraperitoneal Volume (IIPV)
Overfilling or not draining enough can result in excess fluid in the abdomen, also
known as Increased Intraperitoneal Volume (IIPV). While some people may not
exhibit symptoms, most commonly observed symptoms include:
Feeling full, bloated, or overfull
Abdominal pain or discomfort
Expanded or tense abdomen
Vomiting or spitting-up
Difficulties feeding
Localized swelling around the PD catheter exit site, belly button, groin
region, or genital area
Leakage of fluid from the PD catheter exit site
Difficulty breathing
A child complaining of a "funny feeling" in the abdomen
A child crying
Unexpected increase in blood pressure
IIPV can occur because of one or more of the following reasons:
Low Fill Mode is not programmed for patients whose fill volumes are less
than 1000 mL. These patients typically weigh less than 44 lbs (20 kg).
The Negative UF Limit should not be raised above 50% and the Minimum
Drain Volume % should not be lowered below 85% (the default values).
The Initial Drain Alarm is programmed too low. The system may move on
to the first Fill before you are completely drained if:
–
Your last therapy left you with more than your normal Last Fill
Volume
–
You did not perform a manual drain
–
A slow flow condition occurs before you are completely drained
Temporarily increase your I-Drain Alarm setting or perform a Manual
Drain to make sure that your Initial Drain is complete.
The patient line length is greater than 12 feet (3.6 meters) and Initial
Drain Alarm is set below 30 mL. This can cause your Initial Drain to end
early.