Table 2 Approach to ultrafiltration failure in patients on peritoneal dialysis (PD)

1.

Attainment of normal volume status is important for the wellbeing of patients on PD

2.

There is a different diagnosis in the volume overload patients on PD. Do not assume it is membrane failure

3.

Early versus late ultrafiltration failure have different causes

4.

Management includes dietary sodium restriction, pushing urine output by diuretics, and changes to the PD prescription

5.

Consider a transition to hemodialysis (HD) if the patient remains chronically volume overloaded despite these interventions