Peritoneal Dialysis

• Peritoneal Dialysis

  • Administered through a semi-permeable membrane that is Peritoneum
  • Dialysate content: H2O + Sugar - Hypotonic Solution to allow transfer of solutes from bloodstream to the peritoneum
  • Technique: Sterile
  • Insertion site: Below umbilicus due to decreased vascularity
• Complications of Peritoneal Dialysis

  • Peritonitis - PRIOTY; rigid-board like abdomen 
  • Hyperglycemia - due to overdwell time
• Peritoneal Dialysis

  Nursing Interventions:

  • Instruct to void.
  • Dialysate solution: warm. Increases urea excretion due to vasodilation as well as reduces the likelihood of abdominal cramps 
  • Cycle: infusion is 10 minutes; dwell time is 20 minutes; drainage is 30 minutes
  • First few bottles of drainage - pink-tinged dt trauma
  • If the drainage stops, turn the client to sides.
  • Position: Semi-fowler's - to prevent dyspnea dt compression of the diaphragm by the fluids
  • Cloudy dialysate = peritonitis.
  • Monitor urine and blood glucose levels. The dialysate contains glucose.
• Peritoneal Dialysis

  How often: daily every 6-8 hours
• Peritoneal Dialysis

  Dialysate Color

  • normal - clear
  • cloudy - infection
  • red - bleeding
  • yellow - urine
  • brown - poop