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Dorothea Tyson, age 74, has been on CAPD for 3 months due to ibuprofen overuse, and recently had a knee replacement. She has never had any issues with PD before and continued to do her own exchanges, but she calls and tells you that since she got home from rehab, her drains have been clear—but taking a very long time. Her husband is concerned that PD is not working as well for her. What is the first thing you suspect is wrong?
James Jones, 49, just switched from CAPD to APD due to hypertension and is in his second week. He tells you he has been up most nights with drain pain and slow drain alarms when he’s nearly empty, which keeps his wife up, too. He says he is not constipated and has not noted any fibrin in his exchanges. What might need to be adjusted so he can sleep at night? (Check all that apply.)
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