A computer implemented method, comprising the steps of:
- receiving one or more patient parameters before the start of a current peritoneal dialysis session;
- receiving a prior peritoneal dialysis prescription from a prior peritoneal dialysis session;
- and
- storing the one or more patient parameters before the start of the current peritoneal dialysis session and the prior peritoneal dialysis prescription into a machine-readable storage medium for storing instructions, which when executed by a dialysis machine performs the steps of:
- determining a new peritoneal dialysis prescription based on adjustments of the prior peritoneal dialysis prescription based on the one or more patient parameters before the start of the current peritoneal dialysis session;
- and
- delivering the new peritoneal dialysis prescription for a current peritoneal dialysis therapy to a patient in need thereof, using the dialysis machine;
- and further comprising at least one of:
- a) receiving an effluent pH from a first dialysis session;
- receiving an effluent pH from at least a second dialysis session;
- trending the effluent pH over the first and second dialysis sessions;
- and providing an alert if a trend of effluent pH changes by greater than a predetermined threshold;
- b) receiving an effluent color and clarity from a first dialysis session;
- receiving an effluent color and clarity from at least a second dialysis session;
- trending the effluent color and clarity over the first and second dialysis sessions;
- and providing an alert if a trend of effluent color and clarity changes by greater than a predetermined threshold;
- and
- c) receiving an intraperitoneal pressure from a first dialysis session;
- receiving an intraperitoneal pressure from at least a second dialysis session;
- trending the intraperitoneal pressure over the first and second dialysis sessions;
- and adjusting a dwell time if the intraperitoneal pressure changes by greater than a predetermined threshold between the first and second dialysis sessions.