Peritoneal Dialysis Flashcards

1
Q

Use peritoneal membrane as a ___

A

Filter

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2
Q

Dialysate is warmed and infused int the peritoneal cavity by gravity via a ____

A

Tenckhoff catheter

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3
Q

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 ?

A

Dwell time

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4
Q

Then the bag is lowered and the fluid, along with ____, etc are drained. This is called ___

A

Toxins; exchange

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5
Q

Why do we warm the fluid?

A

Cold promotes vasoconstriction (limits blood flow)

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6
Q

How do we want fluid-warm or cold?

A

Warm this promots vasodilation and more blood flow

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7
Q

What should drainage look like?

A

Clear, straw colored

Cloud= infection

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8
Q

What type of client gets peritoneal dialysis?

A

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

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9
Q

What if all the fluid doesnt come out?

A

Reposition side-to-side

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10
Q

Two types of peritoneal dialysis?

A

CAPD

CCPD

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11
Q

What does CAPD stand for?

A

Continuous ambulatory peritoneal dialysis

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12
Q

Continuous ambulatory peritoneal dialysis

Must have what type of client?

A

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

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13
Q

Continuous ambulatory peritoneal dialysis

How often?

A

4x/d, 7 days a week

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14
Q

Continuous ambulatory peritoneal dialysis

Could client with disc disease or arthritis do this?

A

No; fluid causes pressure on back

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15
Q

Continuous ambulatory peritoneal dialysis

Could a client with a colostomy do this?

A

No; high risk for infection

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16
Q

What does CCPD stand for?

A

Continuous cycle peritoneal dialysis

17
Q

Continuous cycle peritoneal dialysis

Connect the peritoneal dialysis catheter to a cycler at ____ and their exchange is done automatically while they sleep

A

Night

18
Q

Continuous cycle peritoneal dialysis

When to disconnect?

A

In AM

19
Q

CAPD or CCPD

Which has more freedom?

A

CCPD

20
Q

Complications of peritoneal dialysis

Major complication is ____

A

Infection (peritonitis)

Cloudy effluent= 1st sign

21
Q

Complications of peritoneal dialysis

Constant ____

A

Sweet taste

22
Q

Complications of peritoneal dialysis

May get a ____

A

Hernia

23
Q

Complications of peritoneal dialysis

Altered?

A

Body image/sexuality

24
Q

Complications of peritoneal dialysis

GI

A

Anorexia

25
Q

Complications of peritoneal dialysis

Pain

A

Low back pain

26
Q

Dietary needs of the peritoneal dialysis client

Increase what in the diet?

A

Fiber (have decreased peristalsis due to abdominal fluid)

Protein (big holes in peritoneum and lose protein with each exchange)