Peritoneal dialysis

Question 1

what is peritoneal dialysis?

Answer 1

when the dialysate is warmed and infused into the peritoneal cavity by gravity through a catheter.

Question 2

How long does the fluid stay in the peritoneal cavity?

Answer 2

an ordered amount of time (dwell time)

Question 3

How many mLs are usually infused?

Answer 3

2000- 2500 mL

Question 4

Why do we warm the fluid?

Answer 4

cold promotes vasoconstriction which limits blood flow

while the warm promote vasodilation which will increase blood flow= more toxins pulled out.

Question 5

How do we drain the fluid and toxins?

Answer 5

lower the bag to the flower and it will fill the bag (by gravity)

Question 6

What should the effluent/drainange/ fluid look like?

Answer 6

clear and straw colored

Question 7

cloudy effluent/drainage/ fluid from peritoneal dialisis means_

Answer 7

infection

Question 8

what type of patient gets peritoneal dialysis?

Answer 8

someone who can’t take hemo (unstable cardiovascular patient)

Question 9

what if all of the fluid doesn’t come out when you lower the bag to the floor?

Answer 9

reposition the patient or turn them from side to side

Question 10

2 types of peritoneal dialysis:

CAPD (continuous ambulatory peritoneal dialysis)=

CCPD (continuous cycle peritoneal dialysis)

which one has more freedome?

Answer 10

• you must have a committed patient. it’s done 4x/day, 7 days/week.
• the CCPD because they connect it to a cycler machine at night and in the more morning, they disconnect it and have their freedom.

Question 11

Could a patient with arthritis do CAPD?

people that do this procedure always complain of what?

could a patient with a colostomy do this?

Answer 11

no; the fluid causes pressure on the back

• back pain or discomfort
• no; the risk for infection would be too high

Question 12

your patient who has been getting peritoneal dialysis for the past few months has been complaining of abdominal pain, and you see that their effluent is cloudy in color. what should you suspect?

Answer 12

peritonitis

Question 13

The number 1 complication of peritoneal dialysis is?

Answer 13

peritonitis

Question 14

why would this patient constantly have a sweet taste in their mouth?

Answer 14

the dialysate has sooo much sugar in it. (hypertonic solution), so check blood sugar just to make sure.

Question 15

why would this patient get a hernia?

Answer 15

the increased pressure that’s put in the peritoneal cavity

Question 16

increase what 2 things in the diet?

Answer 16

• Fiber (to increase their peristalsis… they have decreased peristalsis due to the abdominal fluid, so they have trouble with constipation)
• protein (in your peritoneum, you have big holes. so, when you have an exchange with the dialysate, you lose protein)