Peritoneal Dialysis

Question 1

Peritoneal Dialysis

Answer 1

More for Chronic Patients
Catheter is usually placed surgically
PD is initiated immediately or delayed for 2 weeks
Daily catheter care varies- Watch for S/S of infection- Sometimes they have a dressing especially in the beginning- Keep it clean- Cannot take baths- Only showers

Question 2

Three phases of PD cycle

Answer 2

Inflow (fill)- Connected to dialysizer
Dwell (equilibration)
Drain
Called an exchange- 30-60 min

Question 3

Inflow

Answer 3

Prescribed amount of solution infused through established catheter over about 10 minutes- Usually 2 Liter
After solution infused, inflow clamp closed
Rate can be decreased if pain occurs

Question 4

Dwell

Answer 4

Also known as equilibration
Diffusion and osmosis occur between patient’s blood and peritoneal cavity
Duration of dwell time varies, depending on method of PD 30-60 minutes

Question 5

Drain

Answer 5

Keep lower than body level
Lasts 15 to 30 minutes
May be facilitated by gently massaging abdomen or changing position
Ultrafiltration during PD depends on osmotic forces

Question 6

Peritoneal Dialysis Complications

Answer 6

Exit site infection
Peritonitis- if fluid is cloudy could be peritonitis and need to call doctor and send sample to the lab
Hernias-Putting continuous pressure on abdominal cavity can cause the hernia, especially in older men

Lower back problems
Bleeding
Pulmonary complications- Diaphragm gets pushed up- PNA
Protein loss- Might need to stop and start hemodialysis