During PD,
a mixture of dextrose (sugar), salt, and other minerals dissolved in water
, called dialysis solution, is placed in a person’s abdominal cavity through a catheter.
What is in the dialysate solution?
Dialysate is a fluid that is made up of
water, electrolytes and salts
. During dialysis, dialysate helps to clean your blood inside the dialyzer by removing waste products and balancing electrolytes.
What is peritoneal dialysis fluid made of?
The PD fluid Dianeal (Baxter Healthcare Corporation, Deerfield, IL, USA) contains
dextrose, a number of electrolytes including sodium chloride, and sodium lactate
.
Which agent is used in peritoneal dialysis fluid?
The average maximum value for 3.86%
glucose
is 15 ml/min [3, 17–19]. Glucose is almost universally used as osmotic agent in peritoneal dialysis. Its advantages are the large experience obtained with it, the well-established produc- tion and low price, and the cellular uptake of the absorbed amount, mediated by insulin.
What is PD solution?
Conventional
peritoneal dialysis
(PD) solutions are characterized by several undesirable characteristics, including acidic pH (5.2–5.5), high glucose concentrations (13.6–42.5 g/L), hyperosmolarity (360–511 mOsm/kg) and relatively high concentrations of glucose degradation products (GDPs).
What are the disadvantages of peritoneal dialysis?
One of the main disadvantages of peritoneal dialysis is
that it needs to be carried out every day
, which you may find disruptive. You may also find it upsetting to have a thin tube (catheter) left permanently in your abdomen (tummy), although it can often be concealed under clothing.
Can you skip a day of peritoneal dialysis?
One of the big problems with PD is that patients sometimes do not perform all of the exchanges recommended by their medical team. They either
skip exchanges
or sometimes skip entire treatment days when using CCPD. Skipping PD treatments has been shown to increase the risk of hospitalization and death.
How do you make dialysate?
Dialysate is produced by
mixing clean, AAMI grade water with both an acid and base concentrate
. This purpose of this report is to describe production, mixing and delivery of the buffer component of dialysate, and to also to address the cost, safety and feasibility of producing online bicarbonate.
What solution should you mix to disinfect the dialysis station?
Keep a clean area for treatment.
Mix 1 part household bleach and 10 parts water
to clean dialysis equipment.
What is removed during dialysis?
Dialysis removes fluid and wastes
Waste such as nitrogen and creatinine build up in the bloodstream
. If you have been diagnosed with CKD, your doctor will have these levels carefully monitored. One of the best indicators of kidney function is your glomerular filtration rate (GFR).
What is a common problem with peritoneal dialysis?
The most common problem for people receiving peritoneal dialysis is
peritonitis
, an infection of the lining of the abdominal cavity (peritoneum). An infection can also develop at the site where the tube (catheter) is inserted to carry the cleansing fluid into and out of your abdomen.
How long can you stay on peritoneal dialysis?
Average life expectancy on dialysis is
5-10 years
, however, many patients have lived well on dialysis for 20 or even 30 years. Talk to your healthcare team about how to take care of yourself and stay healthy on dialysis.
Is peritoneal dialysis painful?
Do PD treatments hurt?
PD does not require any blood
, so there are no needle sticks involved. Fluid simply enters your abdomen through the catheter, dwells inside for awhile, and then drains back out. This process is usually completely painless.
Why is peritoneal dialysis used instead of hemodialysis?
Peritoneal dialysis
is done more continuously than hemodialysis
, resulting in less accumulation of potassium, sodium and fluid. This allows you to have a more flexible diet than you could have on hemodialysis. Longer lasting residual kidney function.
What happens when peritoneal dialysis stops working?
Without dialysis, toxins build up in the blood, causing a condition called uremia. The patient will receive whatever medicines are necessary to manage symptoms of uremia and other medical conditions. Depending on how quickly the toxins build up,
death
usually follows anywhere from a few days to several weeks.
What does peritoneal mean?
:
the smooth transparent serous membrane that lines the cavity of the abdomen of a mammal
and is folded inward over the abdominal and pelvic viscera.
