Peritoneal Dialysis Flashcards
1
Q
Definition
A
Dialysis fluid into peritoneal cavity + peritoneal membrane used as filter
2
Q
Continuous ambulatory PD
A
Carry out own dialysis 4x everyday
1.5-3L fluid in for 4hr
Contraindicated - colostomy, ileostomy
Can cause - bloating, discomfort, peritonitis
3
Q
Automated PD
A
8-10hr
Machine carries out exchanges overnight
Pt carries fluid in peritoneum during day as a long dwell
4
Q
Energy
A
30-35kcal
Dialysis solutions can provide 400-600kcal
5
Q
Protein
A
Slight increase as protein loss in dialysis fluid
- 2g/kg
- below this may increase risk malnutrition
6
Q
Other dietary considerations
A
Constipation
Check phosphate
Increased energy load from treatment can cause weight gain
Diabetes - hard glycaemic control
7
Q
Fluid
A
750mL + PDUO
8
Q
Sodium
A
Usually restriction
NAS <6g/d
9
Q
Potassium
A
Not limited unless serum high
