Do I need a bigger Bibag or have to wake to change the bag during an 8 hour run?
First, NHHD is much longer, gentler and slower. Everything can be slowed down – almost subliminalized (is there such a word?). The blood flow rate is dropped to an average of 225ml/min. The dialysate flow rate is also reduced to 300 ml/min (an adjustment easily made on Fresenius machines by the dialysis technicians). Doing this allows standard concentrate volumes and Bibags to last the full distance (and more) with ease. So, yes, you can sleep soundly through the night for your full 8hrs without worrying you will run out of concentrate or bicarbonate.
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