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What is peritoneal dialysis?Dialysis does the work of your kidneys when you have kidney failure. It filters wastes and removes extra fluid. And it works to restore the right balance of chemicals in the blood. Peritoneal dialysis (say "pair-uh-tuh-NEE-uhl dy-AL-uh-sus") uses the lining of your belly to filter your blood. This lining is called the peritoneal membrane. Before you can start this type of dialysis, a doctor has to make a dialysis access in your belly. This is the place where the fluid (dialysis solution) flows into and out of your body. This is most often done 10 to 14 days before dialysis starts. You don't need to go to a dialysis centre for peritoneal dialysis. Instead, you will do your own treatments at home or in any clean place. You may be able to do it when you sleep. You can do peritoneal dialysis yourself or have a machine help you. What happens in peritoneal dialysis?The process of doing peritoneal dialysis is called an exchange. Each exchange has three steps: fill, dwell, and drain. Fill:Dialysis fluid enters your belly through the catheter. The fluid is a mix of sugar, water, and electrolytes. Electrolytes are minerals such as sodium, potassium, and calcium. Dwell:While the fluid is in your belly, extra fluid and waste travel into the dialysis fluid. Drain:The fluid is drained and then replaced with new fluid. How do you do peritoneal dialysis?How the exchange is done, how often you do it, and how long it takes depend on the type of peritoneal dialysis you use. Continuous ambulatory peritoneal dialysis (CAPD)
Continuous cycling peritoneal dialysis (CCPD)
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. Where can you learn more?Go to https://www.healthwise.net/patientEd Enter X546 in the search box to learn more about "Learning About Peritoneal Dialysis". How does peritoneal dialysis (PD) work?
In PD, you will always have dialysate in your belly, unless you are doing an exchange. During your dwell time, you are free to move around and do your daily activities while the dialysate sits in your belly. What is dialysate?Dialysate is a liquid with sugar in it that pulls fluid and waste from your blood. The dialysate holds on to the waste and fluid and removes them from your body when you do an exchange. How does the catheter get into my belly?Before you start PD, doctors will do a small surgery to put the catheter into your belly. The end of the catheter will come out through your skin, either on your belly or your chest. Usually, you can stay awake during this surgery — doctors will numb the area of your body where they put in the catheter so you do not feel any pain. What are the types of PD?The two most common types of PD are continuous cycler-assisted peritoneal dialysis (CCPD) and continuous ambulatory peritoneal dialysis (CAPD). Use this table to help you compare the two types of PD:
How can I do PD safely?Doing PD has many benefits, such as going about your daily activities between exchanges and not having to travel to a center for dialysis. To stay healthy and safe while doing PD, keep the following tips in mind. Care for your catheter to prevent infectionAn infection in your belly (called peritonitis) is the most common problem that may happen when doing PD. Infections can happen when bacteria get into your belly around your catheter. Bacteria may also get into your catheter while you connect or disconnect it from your dialysate bags. To help prevent infection:
Your doctor or nurse will teach you how to best care for your catheter. If you notice any signs of infection, call your doctor right away to get treatment. Signs of infection include:
Do PD in a clean, dry spaceChoose a space for doing your exchanges that:
Keep pets out of the roomFor most of us, pets are family. You do not have to find a new home for your pets because you are starting PD. However, you should keep pets out of the room you choose for doing exchanges to make sure it stays as clean as possible. Read this blog post to learn more about pets and peritoneal dialysis. Create a safe storage space for your suppliesStore your PD supplies in a clean, dry space that is easy for you to get to. Make sure children and pets cannot get to your supplies. Supplies are usually delivered to your home once a month. Each delivery might include many large, heavy boxes. If you cannot lift heavy boxes, make sure you have someone to help you on delivery day. How long can I stay on PD?How long you can stay on PD depends on many things, such as your overall health and how well you follow your treatment plan. Many people live on dialysis for years. If your health gets worse while you are on PD, you may have to switch to hemodialysis or get a kidney transplant. Can I continue my usual activities?Probably. PD can offer a lot of flexibility. If you do PD at night, you will have more time for other activities during the day, but there are some limits on what you can do. To keep your catheter area dry and prevent infection, you should avoid swimming or using hot tubs. If those are activities you enjoy, talk to your doctor about a treatment plan that might let you continue those activities. Working while doing PDTo prepare for doing PD at work, talk to your employer to:
Your health and well-being depend on you doing all the exchanges recommended by your doctor. If needed, your social worker may be able to help you work out an agreement with your employer. Traveling while doing PDOne of the benefits of doing PD is being able to travel without having to look for a dialysis center at your destination. Usually, your PD supplies can be shipped to the place where you are staying. Learn more about traveling considerations for people with kidney disease. Is PD or hemodialysis right for me?Hemodialysis is another type of dialysis in which a machine is used to filter waste and extra fluids from your blood. There are many things to consider when deciding which kind of dialysis is right for you, such as:
Talk to your doctor to help you make a treatment plan that works for your life. Learn more about the types of hemodialysis. Which action would the nurse take when caring for a patient with a peritoneal dialysis catheter?Bathe or cleanse the area around your catheter each day. Change your clothes and/or dressings each day. Avoid tight clothing or belts that put pressure on your catheter. Don't sleep in a position that puts pressure on your catheter.
How is peritoneal dialysis performed?How do you do peritoneal dialysis?. You attach the bag of fluid to the catheter and let it flow into your belly. ... . After this time, you drain the fluid out of your belly. ... . You need to do this about 4 times a day.. It takes about 30 to 40 minutes to drain and refill your belly.. What does a peritoneal dialysis nurse do?Peritoneal Dialysis RN (PD RN) Registered Nurse Peritoneal As a Peritoneal Dialysis Registered Nurse (PD RN), you educate your patients on how to do their own dialysis from their homes, and you take responsibility for the complete ongoing care of each patient to ensure their treatment stays on track.
What is peritoneal dialysis and how does it work?During peritoneal dialysis, a cleansing fluid flows through a tube (catheter) into part of your abdomen. The lining of your abdomen (peritoneum) acts as a filter and removes waste products from your blood. After a set period of time, the fluid with the filtered waste products flows out of your abdomen and is discarded.
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