Tehchoff catheter - Cuffs attached to fix catheter in position, serve as a barrier against bacteria,
prevent fluid leaks.
Peritoneal dialysis - Hypertonic dialysate filled with dextrose is infused into the peritoneum Via an
in dwelling catheter
Body surface area of the peritoneal membrane - The peritoneal membrane is 1to 2 m² and
approximates the body surface
Icodextrin - New dales eight solution does not contain dextrose employs a glucose Polymer and
aids in greater fluid removal
CA PD - Patient performs approximately 4 to 6 exchanges throughout the day. Continuous
ambulatory peritoneal dialysis
CA PD drawback - Patient must perform exchange every 4 to 6 hours
Auto mated peritoneal dialysis - Four types of automated peritoneal dialysis
Continuous cycling peritoneal dialysis - 3 to 5 nightly exchanges with the daytime infusion to aid in
molecular Clarence
Nocturnal intermittent peritoneal dialysis - 3 to 5 nightly exchanges with no daytime infusion this
is prescribed in patients who hybrids you're the dextrose solution suffer from CHF or have hernias
Intermittent peritoneal dialysis - Exchanges are performed 3 to 5 times per week there is no
leftover dialysate in peritoneum between exchanges.
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Tidal peritoneal dialysis - Dialysate is initially infuse into the peritoneum. After predetermined
time in the peritoneal cavity most of the dialysate is drain leaving some fluid behind. The fluid asked to
increase Clarence. When the next exchange occurs a new dialysate is introduced tidal dialysis
Permeability of the peritoneal membrane - More permeable = better Clarence
Volume of the exchange - Higher volume = greater Clarence
Dialysate glucose concentration - Higher concentration = better clearance in fluid removal
Dwell time - Longer times allows for more diffusion
Molecular size - Small molecules are cleared more efficiently
Peritoneal equilibration test PET - A test to determine peritoneal membrane permeability.
Peritoneum is infused with 2.5 dialysate
Adequacy for continuous ambulatory peritoneal dialysis - kt/v>2.0
Continuous cycling peritoneal dialysis - Kt/v > 2.1
Nocturnal intermittent peritoneal dialysis - Kt/v >2.2
Peritoneal Membrane - Lines the abdominal wall in abdominal organs
Peritoneal membrane - Semi permeable bi - directional
Surgical evaluation for PD CATHETHER - Abdominal wall weakness or hernia, previous abdominal
surgery, likelihood of adhesions, Domino wall obesity. Powered by TCPDF (www.tcpdf.org)
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