What is adequacy test for peritoneal dialysis?
One way to assess adequacy of dialysis is to do a test called the Peritoneal Dialysis Adequacy Test. It is also called Kt/V. This test measures the waste products in your urine and dialysis drainage. It also measures protein nutrition and is able to assess how well you are eating.
How is peritoneal dialysis output calculated?
In peritoneal dialysis, small-solute clearance (and, thus, the Kt/V) is determined by the total drain volume (dialysate plus ultrafiltration volume) multiplied by the concentration of the specific solute in the drained volume.
How do you know if PD catheter is infected?
What Are Some Symptoms of an Infected Catheter?
- Pus draining from the catheter exit site.
- Red streaks around the access area.
- Red, inflamed skin.
- Swelling, warmth, or increased pain.
- Fever.
How much fluid goes in during peritoneal dialysis?
Historically, 2 l of dialysis fluid are administered for the dwell during peritoneal dialysis in adult patients. This will vary from 1.5 l in the very small adult to 2.5 l in the very large adult.
What is PD fluid?
A sterile solution (PD fluid) containing a balanced concentration of electrolytes and an osmotically active agent is introduced into the patient’s peritoneal cavity by a PD catheter or tube. From: Nephrology Secrets (Fourth Edition), 2019.
How do I clean my PD exit site?
Clean with antibacterial soap or cleanser. Rinse with sterile water or saline. After cleaning, gently pat the skin dry around the exit site with a clean cloth or towel. Use the cloth or towel only one time and do not use it on other parts of the body.
What color should peritoneal dialysis fluid be?
Your dialysate should be clear and yellow in color. Cloudy dialysate is a sign of infection.
How much fluid can the peritoneal cavity hold?
100 mL
Normally, the peritoneal space only contains up to 100 mL of serous fluid. In various situations, such as cirrhosis or chyle leaks, there can be a pathologic increase in peritoneal fluid volume.
How many times per day should you perform the exchange of the peritoneal fluid?
Usually, you change the solution at least four times a day and sleep with solution in your belly at night. You do not have to wake up at night to do an exchange. During an exchange, you can read, talk, watch television, or sleep.