During kidney failure, peritoneal dialysis (PD) is used as a means to keep the body’s electrolyte levels in balance. A tube is entered through the stomach 3-5 cm BELOW the umbilicus. The three main steps to this type of dialysis for one infusion is fill, dwell, and drain.
- Look for infection signs ( Number one complication for PD)
- Abdominal Pain (Some irritation in first few infusions is normal)
- leakage around the catheter site ( can indicate wrong placement)
Sample NCLEX Question
A patient newly diagnosed with renal failure has just been started on peritoneal dialysis. During the infusion of the dialysate, the client reports pain in the abdominal area. What action should the nurse take?
- Stop the dialysis
- Slow down the infusion rate
- Immediately Report findings to the physician
- Explain that the pain with subside after the first several infusions
The answer is 4. Note that the patient is newly diagnosed and has JUST been started on dialysis. Therefore abdominal pain will subside shortly and at this time is normal.