Peritoneal Dialysis Flashcards
Use peritoneal membrane as a ___
Filter
Dialysate is warmed and infused int the peritoneal cavity by gravity via a ____
Tenckhoff catheter
The fluid (2000-2500 mL) fills the peritoneal cavity (takes about 10 minutes) and remains in the peritoneal cavity for a prescribed amount of time. This is called ?
Dwell time
Then the bag is lowered and the fluid, along with ____, etc are drained. This is called ___
Toxins; exchange
Why do we warm the fluid?
Cold promotes vasoconstriction (limits blood flow)
How do we want fluid-warm or cold?
Warm this promots vasodilation and more blood flow
What should drainage look like?
Clear, straw colored
Cloud= infection
What type of client gets peritoneal dialysis?
Someone who can’t tolerate hemodialysis or someone who chooses peritoneal
What if all the fluid doesnt come out?
Reposition side-to-side
Two types of peritoneal dialysis?
CAPD
CCPD
What does CAPD stand for?
Continuous ambulatory peritoneal dialysis
Continuous ambulatory peritoneal dialysis
Must have what type of client?
Client that has the energy and the desire to be active in their tx and that also has the ability to learn and follow instructions
Continuous ambulatory peritoneal dialysis
How often?
4x/d, 7 days a week
Continuous ambulatory peritoneal dialysis
Could client with disc disease or arthritis do this?
No; fluid causes pressure on back
Continuous ambulatory peritoneal dialysis
Could a client with a colostomy do this?
No; high risk for infection
What does CCPD stand for?
Continuous cycle peritoneal dialysis
Continuous cycle peritoneal dialysis
Connect the peritoneal dialysis catheter to a cycler at ____ and their exchange is done automatically while they sleep
Night
Continuous cycle peritoneal dialysis
When to disconnect?
In AM
CAPD or CCPD
Which has more freedom?
CCPD
Complications of peritoneal dialysis
Major complication is ____
Infection (peritonitis)
Cloudy effluent= 1st sign
Complications of peritoneal dialysis
Constant ____
Sweet taste
Complications of peritoneal dialysis
May get a ____
Hernia
Complications of peritoneal dialysis
Altered?
Body image/sexuality
Complications of peritoneal dialysis
GI
Anorexia
Complications of peritoneal dialysis
Pain
Low back pain
Dietary needs of the peritoneal dialysis client
Increase what in the diet?
Fiber (have decreased peristalsis due to abdominal fluid)
Protein (big holes in peritoneum and lose protein with each exchange)
