Peritoneal Dialysis Questions with well explained answers

Circulatory access - Catheter in peritoneal cavity (Tenckhoff catheter) Dialysis Bath - Similar to hemodialysis Available in 1-2 L plastic bags with glucose concentrations of 1.5%, 2.5%, and 4.25% glucose Solution is warmed to body temp Dialyzer - Peritoneum is dialyzing membrane Procedure - Weight the client before and after repeated cylces can be continuous catheter is cleansed and attached to line leadig to peritoneal cavity dialysate infused into peritoneal cavity to prescribed volume (inflow phase) diffusion and osmosis occur between the patient's blood and peritoneal cavity, duration time varies depending on the method (Dwell phase) Dialysate is then drained from abdomen after prescribed amont of time (Drain phase) Complications - Exit Site infection, peritonitis, hernias, lower back problems, bleeding, pulmonary complications, protein loss Nursing Considerations - Constipation may cause problems with infusion and outflow; high fiber diet, stool softeners recommended If problems with output, reposition Monitor BP, apical pulse, temp, respirations, breath sounds, weight Clean catheter insertion site and apply sterile dressing