a nurse is caring for a client who is receiving peritoneal dialysis This is a topic that many people are looking for. bluevelvetrestaurant.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, bluevelvetrestaurant.com would like to introduce to you Peritoneal Dialysis: Nursing management & Risks. Following along are instructions in the video below:
For our parent to kneel dialysis. I call it perrito kneel because it almost reminds reminds me of burritos because huh. It has to do with your stomach.
And that cavity in right right. Here. This is just another way to get fluid out of your body with dialysis.
When your kidneys are broken. Because those kidneys are supposed to filter your blood get all that junk into the potty through your urinary tract get it out of the body and make sure everythings functioning good so. What we do is little belly.
This little peritoneal dialysis this kind of burrito kneel dialysis. You can we can say what we do is we put a um lets see here how do i clean this you put a 2 thats supposed to end well inside your peritoneal cavity here and im like so what were trying to do here is fill the body up with a solution this solution inside youre inside. The body.
Now is supposed to attract the fluid and you basically fill your body up with like a sugary type of solution. And its almost like a plastic encasement here. So you fill your body up with the solution.
You let it dwell there for a little bit this solution has high soul use which means that this osmosis is supposed to be happening all the excess fluid in the body is supposed to be attracted to that solution in your peritoneal cavity. Once we dwell a little bit we can then extract it and drain it so were just getting excess fluids out of the bottom so we can break it down actually into three areas here you have it in you make it sit there and then you drain. It out so you put that fluent in to your peritoneal area.
You let it sit there let it have tracked all that blood sugar or all that im sorry all that excess fluid in the body and help it then drain. It my grandma was actually on peritoneal dialysis. We used to hook her up to the machine put it put about a liter to two liters inside the peritoneal cavity let it sit there for about an hour and a half.
My mom used to watch novellas with her which is just a a spanish. What is it uh spanish soap operas for about an hour. Too and then they drained out the fluid after that so thats what used to happen were just pushing high concentration of solutes like high sugar type of fluids that its not going to go into the body.
Its protected and all that high sugary lets say low potassium type of concentrate is going to attract all the excess fluid from the body into that peritoneal area and then be able to drain it out okay so what are some benefits and some risks for this kind of dialysis well obviously. Its good because we dont have a big fat shunt in our arm right cool. We dont have a big huge quinton catheter sticking out of our chest.
Now you know we dont have really any mal formalities. All we really have is a tube. Thats kind of sticking out of your stomach.
So some bad things that can happen is higher risk for infections. So youre doing this peritoneal dialysis at least three to four up to five times. A day every single day.
So a see you later michele oh. Any time here so what were doing here is were infusing this solution up to 4 or 5. Times a day into your patient.
Sometimes it really just depends on your patient. Sometimes they can only use one two maybe three times for solutions. But you have a lot more times.
That you have to do it plus youre at home. And its a lot less sanitary than lets say a dialysis clinic. Thats been very sanitary.
Putting a needle into that shunt filtering out your blood. Its very less sanitary. You have more higher risk for infection.
So a good thing to watch your patient for on peritoneal dialysis and educate them is infection infection control. If they start draining this fluid out of their peritoneal cavity and its very cloudy. Very smell those are indications for an infection.
So you guys have to educate your patient that way a huge thing that i forgot to mention in your hemodialysis is wait always make sure you take your patients wait take a wait before they go into the alices takeaway after they come out of dialysis. We want to neat. We want you we want to know how much fluid theyve lost we want to know how much fluids sucked out.
Obviously they have it on their little paper. We put this flush blew it in we put this much fluid out. But weights are huge with your patient.
And knowing how much fluid is being taken in out as well as how much fluid did they end with after dialysis. So that we can watch out for the next day. How much is is our patient gaining any weight are they losing any weight.
Whats going on okay so big risk for infection with peritoneal dialysis it goes into your stomach you check the daily weights obviously youre doing blood sugar checks. But were releasing at least two liters. Were putting in oh heres actually a good one lets say you put in a liter of fluid and that fluid is inside now we let it sit and then we drain.
It do you expect to have more fluid coming out or the same amount of fluid stinking in there. So you put one unit in and youre draining out you expect how much to come out at least more than one usually two units out the biggest thing for peritoneal dialysis is having us pee thats our big thing that we want our patient to urinate and thats kind of what were doing here with peritoneal dialysis. So just remember those critical factors with your dialysis patients okay.
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