Complications
Procedure
Miscellaneous
Assessment
Patient Teaching
100

Infection of the Peritoneum

What is Peritonitis?

100
Peritoneal dialysis uses the patients own _____ as a semi permeable dialyzing membrane.
What is a peritoneum?
100
During inflow, _____ (amount) is allowed to drain into catheter over about 10 minutes.
What is 1-2L
100
This is common during the inflow of dialysate when patients are first started on PD therapy. After a week or two it usually resides.
What is pain.
100
The pt needs to be aware that dialysate leakage and pulling or twisting of the catheter increase the risk for _____.
What are ESI's (Exit site infections)
200

Redness, swelling, and purulent drainage are signs of ______ at the exit site

What is Infection?

200
Peritoneal dialysis is consisted of _____ phases.
What is 3?
200
Overtime a ______ ______ forms at the insertion site and provides protection against infection.
What is a bacterial barrier?
200
Before the treatment of PD, the nurse needs to assess baseline vital signs including which two pulse rates?
What are apical and radial pulse rates.
200
Cloudy or opaque effluent indicates what?
What is infection.
300

_____ is usually treated with antibiotic agents through the peritoneal catheter

What is Peritonitis?

300
Automated Peritoneal Dialysis uses a device called a _____ to perform exchanges at night.
What is a cycler?
300
PD patients are allowed 1.2 to 1.5 grams of _____/kg/day because it is lost with each exchange.
What is protein?
300
When should a PD patient be weighed to obtain a "dry weight"?
What is after a drain and before the next fill.
300
You can warm the dialysate bags before instillation by using a heating pad to wrap the bag or by using the warming chamber of the automated cycling machine. _______ are NOT recommended for the warming of dialysate.
What are microwaves.
400

Bleeding, abdominal pain, hernias, low back pain, respiratory distress, and decreased serum albumin are all_____ _____?

What is possible complications?

400
______ allows the patient freedom from a machine and the independence to perform dialysis alone.
What is CAPD-Continuous Ambulatory Peritoneal Dialysis?
400

Inadequate protein intake can lead to ______ thus leading to weight loss

What is muscle wasting?

400
The dressing around the catheter exit site should be checked every 30 minutes during the procedure for what?
What is wetness.
400
Patients on PD should eat a high ____ diet and use _____ _______ to prevent constipation.
What is fiber and stool softeners.
500
This condition occurs when a thick membrane develops around the bowel which can obstruct intestines and interfere with ultrafiltration
What is encapsulating sclerosing Peritonitis?
500
During dwell time _____, ______, and ______ occur.
What is ultrafiltration, osmosis, and diffusion?
500
Poor dialysate flow is usually related to _______.
What is constipation.
500
After completing the PD procedure, the nurse should do what three things with the outflow?
What is measure, record, and dispose of the outflow.
500
________ can help stimulate the inflow or outflow. _______ ____-________ position reduces abdominal pressure.
What is repositioning and supine low-Fowler's.
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