Tag: kidney failure


Peritoneal Dialysis

Posted on February 17th, by Megan in Uncategorized. 1 Comment

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.

Nursing interventions:

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 … Read More »