Basic PD
Infection Prevention
Fluid Mgmt in PD
The Science of APD Therapy
PET
100

What are the two types of peritoneal dialysis?

Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dialysis (APD) or CCPD

100

Each hour of delay in administering antibacterial therapy from the time of presentation to a hospital facility increased the risk of PD failure or death by BLANK %.

6.8%

100
Define EUVOLEMIA

Ability to maintain target weight. Edema Free State. Normotensive without medication.

100

What are two reasons the long dwell is valuable?

Middle Molecule Clearance & Phosphorus Clearance

100

When should the standard PET be performed?

4-12 weeks after full volume PD is achieved, stable peritoneal membrane

200

What is a PD Catheter?

A small, soft tube put through the wall of the abdomen into the peritoneal cavity.

200

Peritonitis is not a universal experience. What group of patients are most vulnerable? 

Those who have already experienced a peritonitis event. CLUSTERING

200

Nursing Key Assessment Activities to evaluate Residual Renal Function. (Name 2)

Recent NSAIDS/Dye Exposure, Dehydration Episodes, Utilization of ACE's & ARB's, Diuretic Use, 24-hour Urine Volume

200

Creatinine Clearance mirrors BLANK clearance. 

Phosphorus

200

Why do we perform the PET?

Peritoneal membrane characteristics are inherent, individualized and change over time.

300

What are the components of a PD exchange?

Drain, Fill, Dwell

300

Peritonitis Prevention Strategies (Name 2)

Retraining, Excellent Hand Hygiene, Home Visits, Catheter Replacement for Relapsing/Repeat Events, Avoid Constipation, Address Hypokalemia

300
Benefits of Residual Renal Function. (Name 2) 

Enhanced solute removal, Removal of sodium & water, Middle Molecule Clearance, and Improved BP control

300

A dwell time less than 90 minutes can cause what?

Sodium Sieving

300

What must the blood glucose be at the beginning of the PET?

Less than 235 mg/dL
400

What is the only type of dialysis that preserves residual renal function?

PERITONEAL DIALYSIS

400

Diagnosing Peritonitis (Name 2)

Must have 2 of the following: abdominal pain and/or cloudy effluent, positive culture, Dialysis effluent white cell count > 100/μL (after a dwell time of at least 2 hours), with > 50% polymorphonuclear

400

Key factors when evaluating the PD Prescription. (Name 2.)

Optimal Modality (CAPD vs APD), Membrane Transport Type Characteristics, Dwell Time, Dialysis Tonicity

400

Short dwells are critical for BLANK and BLANK. 

Ultrafiltration and Small Solute Clearance

400

What samples are collected to perform the Standard PET?

Overnight Dwell (8-12 hours), 0, 2, and 4-hour dialysate urea, creatinine and glucose, and 2-hour serum urea, creatinine and glucose.

500

What are some advantages of peritoneal dialysis therapy?

Preserve residual kidney function, no needles required, independent therapy, no care partner required, daily treatment (more like the kidney), portable therapy

500

Two Valuable Resources for Peritonitis Prevention and Management

PD Vascular Access Care Guide & Calculate by QxMD

500

How can we evaluate mechanical issues impacting the PD catheter? 

Rapid Fill and Drain of 2L Exchange, Evaluate Drain Characteristics, Abdominal Xray
500

Dwell time and the number of exchanges should be determined by BLANK and BLANK.

Membrane Transport Type & Clearance Goals

500

When do we perform a MODIFIED PET?

When we suspect peritoneal membrane insufficiency. This is the diagnostic test for membrane failure.

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