In what instances might you recommend twice daily 7.5% icodextrin to patients on peritoneal dialysis?  

Adequacy in peritoneal dialysis takes into account both the Kt/V from peritoneal dialysis as well as the Kt/V from residual kidney function. As residual kidney function declines over time, adequacy is primarily achieved from peritoneal dialysis. This often requires intensification of the peritoneal ...