Peritoneal Dialysis

Question 1

With Peritoneal dialysis, the peritoneal membrane is used as what ?

Answer 1

As a filter

Question 2

What kind of catheter is used in Peritoneal Dialysis ?

Answer 2

Tenckhoff catheter

Question 3

In Peritoneal Dialysis, Dialysate is infused into the peritoneal cavity by gravity via a what ?

Answer 3

Tenckhoff catheter

Question 4

In Peritoneal dialysis, how much fluid fills the peritoneal cavity ?

Answer 4

2000 - 2500 mLs

Question 5

In peritoneal dialysis, what is the dwell time ?

Answer 5

The prescribed amount of time that the fluid remains in the peritoneal cavity

Question 6

With peritoneal dialysis, the bag is lowered and the fluid , along with the toxins, etc. are drained. Approximately how long does this take ?

Answer 6

15 to 30 minutes

Question 7

With Peritoneal dialysis, what is the entire process called ?

Answer 7

An Exchange

Question 8

Why do we warm the fluid for Peritoneal dialysis ?

Answer 8

B/c cold fluid promotes vasoconstriction which limits blood flow

Question 9

Why do we want Warm fluid used with peritoneal dialysis ?

Answer 9

B/c it promotes vasodilation and more blood flow

Question 10

What should peritoneal drainage look like ?

Answer 10

clear, straw colored
(should be able to read a newspaper through the drainage/effluent)

Cloudy = infection

Question 11

With Peritoneal dialysis, what should you do if the fluid doesn’t come out ?

Answer 11

Turn side to side

Question 12

What type of client gets peritoneal dialysis ?

Answer 12

Someone who can’t tolerate Hemodialysis or someone who chooses peritoneal

Question 13

What are the two types of Peritoneal Dialysis ?

Answer 13

1. ) CAPD (Continuous Ambulatory Peritoneal Dialysis

2. ) APD (Automated Peritoneal Dialysis

Question 14

With Continuous Ambulatory Peritoneal Dialysis (CAPD), you must have a client that has the what ?

Answer 14

The energy and the desire to be active in their treatment

&
that also has the ability to learn and follow instructions

Question 15

How often Is Continuous Ambulatory Peritoneal Dialysis (CAPD) done ?

Answer 15

Done 4x a day, 7 days a week

Question 16

Could a client with Disc disease or arthritis do Continuous Ambulatory Peritoneal Dialysis (CAPD) ? and why ?

Answer 16

No

B/c fluid causes pressure on the back

Question 17

Could a client with a colostomy do Continuous Ambulatory Peritoneal Dialysis (CAPD) ? and why ?

Answer 17

No

B/c there is a High risk for infection

Question 18

How does Automated Peritoneal Dialysis (APD) work ?

Answer 18

Client’s connect their peritoneal dialysis catheter to a cycler at night and their exchange is done automatically while they sleep and Disconnected in the AM.

Question 19

With which type of Peritoneal dialysis does the client have more freedom ?

Answer 19

Automated Peritoneal Dialysis (APD)

Question 20

What are complications of Peritoneal Dialysis ?

Answer 20

• Exit site infection

- Major complication is Peritonitis

Question 21

What are signs and symptoms of complications of Peritoneal Dialysis ?

Answer 21

• Abdominal pain

- Cloudy effluent

Question 22

What do the dietary needs look like for a Peritoneal Dialysis client ?

Answer 22

Need to increase Fiber and Protein in the diet

Question 23

Why do clients receiving Peritoneal Dialysis need increased Fiber in the diet ?

Answer 23

B/c they have decreased peristalsis due to abdominal fluid

Question 24

Why do clients receiving Peritoneal Dialysis need increased Protein in the diet ?

Answer 24

B/c there are big holes in the peritoneum and they loose protein with each exchange