Question

A 56-year-old patient is being admitted to the hospital for peritoneal dialysis. ● What are principles for administering peritoneal dialysis? ● What is involved with the exchange of fluids?

Answer 1

PERITONEAL DIALYSIS :

Peritoneal dialysis is defined as removing of waste products from blood, when kidneys are unable to function properly permanently. In this procedure a clear fluid is passed through a catheter which is inserted into abdomen (peritoneal layer) to filter waste products from blood.

PRINCIPLES FOR ADMINISTERING PERITONEAL DIALYSIS :

The principles used for administering peritoneal dialysis includes physiological process, factors including exchange of water usually called as ultra filtration and other solutes in between peritoneal layers of abdomen. During peritoneal dialysis the transport system of peritoneal layer is highly increased with high concentrations of osmotic fluid leading to fluid over load. This results in changes in structural and functional changes in transport system of peritoneal layer. Due to this kidneys are unable to function properly due to fluid over load, and waste production increases in the blood, needs for peritoneal dialysis.

* Exchanging of fluids during peritoneal dialysis includes, peritoneal membrane which is covering all the internal organs of stomach, passes waste and excess fluid load from blood to the dialysis solution.

Wastes then leave the body when clear dialysis solution (dialysate) is used inside of the abdomen through catheter to purify blood and removing waste from blood.