What is peritoneal dialysis?
Btryourslf peritoneal dialysis, PD Terms in this set (48) What is peritoneal dialysis? allows exchange of wastes, fluids and electrolytes to occur in the peritoneal cavity What does peritoneal dialysis involve? siliconized rubber catheter placed in the abdominal cavity for infusion of dialysis When can't peritoneal dialysis be performed?
How much dialysis fluid is infused into the peritoneal cavity?
1-2L of dialysate is infused by gravity into the peritoneal cavity over a 10-20 minute period What is the dwell phase of peritoneal dialysis? the fluid stays in the cavity for a specific time prescribed by physician What is the drain phase of peritoneal dialysis?
What are the limitations of peritoneal dialysis?
Peritoneal dialysis might not work if you have: Extensive surgical scars in your abdomen. A large area of weakened abdominal muscle (hernia) Limited ability to care for yourself, or a lack of caregiving support. Inflammatory bowel disease or frequent bouts of diverticulitis.
What nursing care is involved in peritoneal dialysis?
-bowel perforation (brown-colored effluent) -bladder perforation (urine colored effluent/same glucose level) What nursing care is involved in peritoneal dialysis? -before treatment - evaluate baseline vital signs, weight, laboratory tests -continually monitor patient for respiratory distress, pain, discomfort
Why is peritoneal dialysis important?
Greater lifestyle flexibility and independence. These can be especially important if you work, travel or live far from a hemodialysis center. A less restricted diet. Peritoneal dialysis is done more continuously than hemodialysis, resulting in less accumulation of potassium, sodium and fluid.
What is the fluid that is drawn out of the body during peritoneal dialysis?
Overview. During peritoneal dialysis, a cleansing fluid (dialysate) is circulated through a tube (catheter) inside part of your abdominal cavity (peritoneal cavity). The dialysate absorbs waste products from blood vessels in your abdominal lining (peritoneum) and then is drawn back out of your body and discarded.
What happens if you have peritoneal dialysis?
It's also likely that people using peritoneal dialysis will eventually have a decline in kidney function that requires hemodialysis or a kidney transplant.
How to improve dialysis results?
Increase the amount of dialysate you use for each exchange. Use a dialysate with a higher concentration of dextrose. You can improve your dialysis results and your overall health by eating the right foods, including foods low in sodium and phosphorus. A dietitian can help you develop an individualized meal plan.
How long does dialysis stay in your body?
During peritoneal dialysis: The dialysate flows into your abdomen and stays there for a prescribed period of time (dwell time) — usually four to six hours. Dextrose in the dialysate helps filter waste, chemicals and extra fluid in your blood from tiny blood vessels in the lining of your abdominal cavity.
How long should I wait to put a catheter in my belly?
The tube is usually inserted near your bellybutton. After the tube is inserted, your doctor will probably recommend waiting up to a month before starting peritoneal dialysis treatments to give the catheter site time to heal.
What is the purpose of dialysis?
Peritoneal dialysis (per-ih-toe-NEE-ul die-AL-uh-sis) is a way to remove waste products from your blood when your kidneys can't adequately do the job any longer.
How long does it take to learn to do peritoneal dialysis?
Dialysis training. After training, most people can perform both types of peritoneal dialysis on their own. You’ll work with a dialysis nurse for 1 to 2 weeks to learn how to do exchanges and avoid infections. Most people bring a family member or friend to training.
What are the problems with peritoneal dialysis?
You can get an infection of the skin around your catheter exit site or you can develop peritonitis, an infection in the fluid in your belly. Bacteria can enter your body through your catheter as you connect or disconnect it from the bags.
How does automated dialysis work?
In automated peritoneal dialysis, you use a machine called a cycler to fill and drain your belly. You can program the cycler to give you different amounts of dialysis solution at different times. Each evening, you set up the machine to do three to five exchanges for you.
What is the machine called that fills and drains your belly?
In automated peritoneal dialysis, you use a machine called a cycler to fill and drain your belly. You can program the cycler to give you different amounts of dialysis solution at different times.
How to tell if dialysis is gone?
After you wash your hands and put on your surgical mask, drain the used dialysis solution from your belly into the drain bag. Near the end of the drain, you may feel a mild tugging sensation that tells you most of the fluid is gone. Close the transfer set.
What is the sugar in dialysis solution?
Dialysis solution comes in 1.5-, 2-, 2.5-, or 3-liter bags. Solutions contain a sugar called dextrose or a compound called icodextrin and minerals to pull the wastes and extra fluid from your blood into your belly. Different solutions have different strengths of dextrose or icodextrin.
How many times does a cycler fill your belly?
With automated peritoneal dialysis, a machine called a cycler fills and empties your belly three to five times during the night. In the morning, you begin the day with fresh solution in your belly. You may leave this solution in your belly all day or do one exchange in the middle of the afternoon without the machine. People sometimes call this treatment continuous cycler-assisted peritoneal dialysis or CCPD.