How do you assess peritoneal dialysis?
To find out if your dialysis is removing enough waste from your body, you might need certain tests: Peritoneal equilibration test (PET). This compares samples of your blood and your dialysis solution during an exchange.
How to explain peritoneal dialysis to a patient?
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Health care providers call this lining the peritoneum. A few weeks before you start peritoneal dialysis, a surgeon places a soft tube, called a catheter, in your belly.
How to record peritoneal dialysis?
For each exchange (infusion, dwell, and drainage of the dialysate), record the following information: date and time of exchange. patients vital signs. dialysate dextrose concentration (for example, 1.5%, 2.5%, or 4.25%) dialysate volume (usually 1,000 to 3,000 mL) medications added to the dialysate, if any.
How to document on a dialysis patient?
We recommend recording initial weight, final weight, dry weight, dialyzer, station number, initial BP and final BP, number of hours of dialysis, access used, BFR, dialysis flow rate, dialysate composition used (Na, K, calcium, bicarbonate), conductivity, temperature, anticoagulation, any other medications administered.
What is the rule of 4 in peritoneal dialysis?
One useful definition for ultrafiltration failure status, based on a simple office test, is the following Rule of 4s: give the patient a bag of 4.25% dextrose-based PD fluid for 4 hours. If there is not net ultrafiltration of greater than 400 mL over this time period, then the patient has ultrafiltration failure.
