peritoneal dialysis

  • With peritoneal dialysis (PD), you have some choices in treating advanced and permanent kidney failure. Since the 1980s, when PD first became a practical and widespread treatment for kidney failure, much has been learned about how to make PD more effective and minimize side effects. Since you don’t have to schedule dialysis sessions at a center, PD gives you more control. You can give yourself treatments at home, at work, or on trips. But this independence makes it especially important that you work closely with your health care team: your nephrologist, dialysis nurse, dialysis technician, dietitian, and social worker. But the most important members of your health care team are you and your family. By learning about your treatment, you can work with your health care team to give yourself the best possible results, and you can lead a full, active life.

    Preventing Problems

    Infection is the most common problem for people on PD. Your health care team will show you how to keep your catheter bacteria-free to avoid peritonitis, which is an infection of the peritoneum. Improved catheter designs protect against the spread of bacteria, but peritonitis is still a common problem that sometimes makes continuing PD impossible. You should follow your health care team’s instructions carefully, but here are some general rules:

    * Store supplies in a cool, clean, dry place.
    * Inspect each bag of solution for signs of contamination before you use it.
    * Find a clean, dry, well-lit space to perform your exchanges.
    * Wash your hands every time you need to handle your catheter.
    * Clean the exit site with antiseptic every day.
    * Wear a surgical mask when performing exchanges.

    Keep a close watch for any signs of infection and report them so they can be treated promptly. Here are some signs to watch for:

    * Fever
    * Nausea or vomiting
    * Redness or pain around the catheter
    * Unusual color or cloudiness in used dialysis solution
    * A catheter cuff that has been pushed out



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    Calista 13 Aug 2008, 04:27 - Verstoß melden
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peritoneal dialysis

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