Peritoneal Dialysis Procedure

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Questions and Answers

What is the primary function of the peritoneum in peritoneal dialysis?

To produce dialysate

To filter waste products from the blood (correct)

To instill anticoagulants

To monitor vital signs

What is the primary difference between CAPD and APD?

The frequency of exchanges (correct)

The type of dialysate used

The need for vascular access

The location of the procedure

Which of the following is a contraindication for peritoneal dialysis?

Vascular access

Unstable hypertension

Ability to handle anticoagulants (correct)

Chronic infection

What is a potential benefit of peritoneal dialysis over hemodialysis?

Allows for greater independence Signup and view all the answers

What is a pre-procedure step for peritoneal dialysis?

Checking the patient's weight and lab results Signup and view all the answers

What is the purpose of the drainage bag in peritoneal dialysis?

To collect waste-filled solution Signup and view all the answers

What type of patient may benefit from peritoneal dialysis?

Patient with chronic infections Signup and view all the answers

What is the primary reason for monitoring the patient's vital signs during peritoneal dialysis?

To detect any potential complications during the procedure Signup and view all the answers

What is the primary function of the dialysate in peritoneal dialysis?

To remove waste products from the blood Signup and view all the answers

Why is it important to ensure the patient has a healthy vascular access site?

To facilitate the insertion of the peritoneal catheter Signup and view all the answers

What is the primary difference between a patient performing CAPD and APD?

The use of a machine to perform exchanges Signup and view all the answers

What is an advantage of peritoneal dialysis over hemodialysis in terms of independence?

Patients can perform the procedure at home Signup and view all the answers

What is a potential complication of peritoneal dialysis?

Leakage at the access site Signup and view all the answers

What is the primary reason for checking the patient's lab results before peritoneal dialysis?

To monitor the patient's kidney function Signup and view all the answers

What is the primary purpose of instilling the dialysate into the peritoneum?

To remove waste products from the blood Signup and view all the answers

What is an important aspect of teaching the patient proper technique for performing peritoneal dialysis?

Ensuring the patient can perform the procedure independently Signup and view all the answers

Study Notes

Here is a summary of the text in detailed bullet points:

• Peritoneal dialysis is a type of dialysis that uses the peritoneum, a semi-permeable membrane in the abdominal cavity, as a filtration membrane to remove waste products from the blood.

• Indications for peritoneal dialysis include patients who cannot tolerate hemodialysis, have chronic infections, unstable hypertension, or are unable to handle anticoagulants.

• Peritoneal dialysis allows for independence, as patients can perform the procedure at home, and does not require vascular access or a machine.

• The procedure involves inserting a peritoneal catheter, instilling a sterile solution (dialysate) into the peritoneum, allowing it to dwell, and then draining the waste-filled solution into a drainage bag.

• There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD).

• CAPD involves multiple exchanges of dialysate throughout the day, while APD uses a machine to perform the exchanges at night.

• Pre-procedure steps include checking the patient's weight, lab results, and blood sugar levels, as well as ensuring the patient has given informed consent and has a healthy vascular access site.

• Intra-procedure steps include monitoring the patient's vital signs, ensuring the access site is clean and free of leakage, and teaching the patient proper technique for performing the procedure.

• Post-procedure steps include monitoring the patient's vital signs, lab results, and blood sugar levels, as well as educating the patient on proper care and maintenance of the catheter site.

• Complications of peritoneal dialysis include infection, particularly at the catheter site, and hyperglycemia due to the hypertonic dialysate.

• Signs and symptoms of peritonitis, a complication of peritoneal dialysis, include cloudy or dark-colored drainage, fever, and abdominal pain.

• Hyperglycemia can be managed by checking blood sugar levels and administering insulin as needed.

• Patient education is crucial to prevent complications, including proper cleaning and maintenance of the catheter site, and understanding signs and symptoms of complications.

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Description

Learn about the peritoneal dialysis procedure, its indications, types, and steps involved. Understand the importance of patient education in preventing complications such as infection and hyperglycemia. Test your knowledge of this crucial medical procedure.