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Peritoneal Dialysis

Presented by: Dualan, Ma. Karenina P. San Luis, Ma. Angelica Rafaela D.

Hemodialysis vs. Peritoneal Dialysis


Comparison of dialysis methods Hemodialysis
Advantages Performed by health professional who can watch for any problems. Executed in a hemodialysis center. It allows you to be in contact with other people having dialysis. You do it for a shorter amount of time and on fewer days each week than peritoneal dialysis.

Peritoneal dialysis
Can be done by own self. Can be done at home or in any clean place or even while travelling. You may be able to do it while you sleep. It doesn't require as many food and fluid restrictions as hemodialysis (K, P, Na rich foods) It does not use needles. It doesn't require the use of blood thinners

Disadvantages

It causes pt. to feel tired on the day of the treatments. It can cause problems such as low blood pressure and blood clots. It increases your risk of bloodstream infections. It requires the use of blood thinners during the procedure.

The procedure may be hard for some people to do. It increases your risk for an infection of the lining of the belly, called peritonitis

http://www.emedicinehealth.com/hemodialysis_compared_to_pe ritoneal_dialysis-health/article_em.htm

PERITONEAL DIALYSIS
Another form of dialysis used to remove waste products and excess water. The blood is cleaned while still inside the body rather than in a machine USING THE PERITONEAL MEMBRANE.

http://www.kidney.ca/page.aspx?pid=339

TYPES:
Continuous

Ambulatory Peritoneal Dialysis (CAPD) Typically three or four exchanges during the day and one evening exchange with a long overnight dwell time while you sleep.

Continuous Cycler-Assisted Peritoneal Dialysis (CCPD) It uses an automated cycler to perform three to five exchanges (10 to 12 hours) during the night. In the morning, pt. begin one exchange with a dwell time that lasts the entire day.

http://www.mayoclinic.com/health/peritoneal-dialysis/MY00282/DSECTION=results

Peritoneal Dialysis Support Team


Nephrologists
Home Renal Social

training PD nurse

dietitian
worker

Process and Equipment used

Insertion of catheter could be with local or general anesthesia. Full schedule of exchange wont begin till 2 to 3 weeks. Uses soft tubing with cuff called dacron while the end tubing has many holes.

The first step of an exchange is to drain the used dialysis solution from the peritoneal cavity into the drain bag.
mild "tugging" sensation

After the used solution is removed from abdomen, you will close or clamp the transfer set and let some of the fresh solution flow directly into the drain bag. This flushing step removes air from the tubes.

The final step of the exchange is to refill the peritoneal cavity with fresh dialysis solution from the hanging bag.

http://kidney.niddk.nih.gov/kudiseases/pubs/peritoneal/

Complications
Peritonitis Leakage Bleeding