How do you prevent peritoneal Peritonal dialysis?
Prophylactic antibiotics administered before PD catheter insertion, colonoscopy, or invasive gynecologic procedures, daily topical application of antibiotic cream or ointment to the catheter exit site, and prompt treatment of exit site or catheter infection are key measures to prevent PD-associated peritonitis.
What is a major complication of peritoneal dialysis?
An infection of the abdominal lining (peritonitis) is a common complication of peritoneal dialysis. An infection can also develop at the site where the catheter is inserted to carry the cleansing fluid (dialysate) into and out of your abdomen.
How often do you change a peritoneal dialysis dressing?
In the immediate post-operative period, a peritoneal dialysis catheter exit site dressing is changed every 7 days for 2-3 weeks until healed and/or if a large amount of drainage is present.
What are the mechanical complications of peritoneal dialysis?
Examples of MCPD include inflow and outflow dysfunction, migration, hernias, peritoneal dialysate leakage, hydrothorax, superficial cuff extrusion, hydrothorax, external tubing break or leak and pain during dialysis.
How can you prevent complications of peritoneal dialysis?
Protocols to decrease infection risk in PD patients include proper catheter placement, exit-site care that includes Staphylococcus aureus prophylaxis, careful training of patients with periodic retraining, treatment of contamination, and prevention of procedure-related and fungal peritonitis.
What is the life expectancy of a peritoneal dialysis patient?
Median survival time was 20.4 months in patients receiving peritoneal dialysis versus 36.7 months in the hemodialysis group. At every age, patients with ESRD on dialysis have significantly increased mortality when compared with nondialysis patients and individuals without kidney disease.
How do you change peritoneal dialysis dressing?
Rinse with sterile water or saline. After cleaning, gently pat the skin dry around the exit site with a clean cloth or towel. Use the cloth or towel only one time and do not use it on other parts of the body. Put antibiotic cream on the skin around the catheter with a cotton-tip swab every time the dressing is changed.
Can you shower on peritoneal dialysis?
When going home with a new PD catheter, instructions are given to keep the abdomen dry and leave the dressings alone. This means no baths, showers or dressing changes for at least one week. This allows the catheter exit site to heal and minimizes the chances of contamination.
Which is a contraindication for use of peritoneal dialysis?
Contraindications to peritoneal dialysis include the following: Documented type II ultrafiltration failure. Severe inflammatory bowel disease. Acute active diverticulitis.