Peritoneal dialysis

Question 1

When is peritoneal dialysis commonly used?

Answer 1

• stop-gap to haemodialysis
• for younger patients who do not want to visit hospital 3x week

Question 2

Most patients on PD do Continuous Ambulatory Peritoneal Dialysis (CAPD), which involved how many exchanges per day?

Answer 2

four x 2-litre exchanges/day.

Question 3

2 common complications of peritoneal dialysis

Answer 3

• peritonitis
• sclerosing peritonitis

Question 4

What organisms commonly cause infection in peritonitis from PD

Answer 4

coagulase-neg. staph.
Staph. aureus

Question 5

Antibiotics given in PD peritonitis should cover Gram positive organisms only. TRUE/FALSE

Answer 5

FALSE - need to cover Gm +ve and -ve

Question 6

What antibiotics are used for peritonitis in PD

Answer 6

vancomycin (or teicoplanin)
+ ceftazidime added to dialysis fluid

OR

vancomycin added to dialysis fluid + ciprofloxacin by mouth