Dialysis
Dialysis
, M
BSN IV
NCM 106
PERITONEAL DIALYSIS
Definition
Peritoneal Dialysis is a way to remove waste products from your blood
when your kidneys can no longer do the job adequately. During
peritoneal dialysis, blood vessels in your abdominal lining (peritoneum)
fill in for your kidneys, with the help of a fluid (dialysate) that flows into
and out of the peritoneal space.
Peritoneal dialysis differs from hemodialysis, a more commonly used
blood-filtering procedure. With peritoneal dialysis, you can give
yourself treatments at home, at work or while traveling. You may be
able to use fewer medications and eat a less restrictive diet than you
can with hemodialysis.
Purpose
- Aid in removal of toxic substances and metabolic wastes.
- Establish electrolyte balance.
- Remove excesses body fluid.
- Assist in regulating the fluid balance of the body.
- Control blood pressure.
- Control severe, intractable heart failure when diuretics no longer
promote
elimination of water and sodium.
Risk
- Bleeding at the access site
- Low blood pressure
- Irregular heartbeat
- Infection
- Nausea
- Air bubbles in the blood
Procedure
Preparing the client
Explain the procedures and assist patient in obtaining signed
consent.
Record baseline vital sigs, weight and serum electrolyte level
Evaluate of the abdomen for placement of the catheter
Encourage patient to empty the bladder and bowel to reduce risk
of puncture on internal organs.
Preparing the equipment
kidney failure. The procedure can help you carry on an active life
despite failing kidneys.
Hemodialysis requires you to follow a strict treatment schedule, take
medications regularly and, usually, make changes in your diet.