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Provider notes
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9/30/2026, 12:00:00 PM
Phos 4.4, itching resolved. Weight stable ~67kg, BP at goal. Nutritionally stable. Continue current regimen, next review in 4 weeks.
9/4/2026, 12:00:00 PM
Hb 10.1, continue epoetin 4000IU weekly. Phos 5.2 improving on higher sevelamer. Bicarb 25 on supplement. Albumin 3.7, encourage protein at each meal.
8/7/2026, 12:00:00 PM
Cloudy effluent reported yesterday, no abdominal pain or fever. Cell count normal, culture negative. No treatment needed. Reviewed hand hygiene and connection technique. Ferritin in range, stopping iron.
7/8/2026, 12:00:00 PM
Seen for fluid overload: ankle edema, weight +1.3kg over baseline, BP up. UF low on 1.5% bags. Used 2.5% bag x 6 nights, with improvement. Reviewed salt and fluid restriction.
6/10/2026, 12:00:00 PM
Phos 6.4 with pruritus. Dietary phosphate high. Increase sevelamer to 1200mg TID with meals, reinforce adherence. Recheck in 4 weeks. Ca 8.6, hold off on calcitriol change.
5/16/2026, 12:00:00 PM
K 5.0, trending up. Dietitian referral for potassium counselling. Residual urine output still good on furosemide 40mg.
4/17/2026, 12:00:00 PM
Established PD patient, APD nightly with 2L fills. Doing well on training. Exit site clean, no tunnel tenderness. BP 130s/80s. Plan: monthly labs, nightly log review.