Peritoneal Dialysis

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Dr. Jitendra Kumar

Information:

Peritoneal dialysis, a specialized form of dialysis, involves the introduction of a unique fluid (known as peritoneal dialysis fluid) into the abdominal cavity through a peritoneal dialysis catheter. This fluid remains within the abdomen for a duration ranging from 6 to 12 hours, which we refer to as the "dual time," encompassing the interval between inflow and outflow.

During this dual time, the peritoneal dialysis fluid serves the crucial purpose of eliminating toxins, removing excess fluids, and regulating electrolyte levels. This continuous process of introducing and withdrawing the fluid takes place throughout the entire day or over a 24-hour period.

If you're seeking peritoneal dialysis services in Faridabad, you'll find a range of options at various peritoneal dialysis centers in the area. Additionally, there are peritoneal dialysis specialists available to provide expert care for those in need of peritoneal dialysis near Faridabad.

P.D.

  • CAPD – continuous ambulatory peritoneal dialysis
  • APD – automated peritoneal dialysis
Automated Peritoneal Dialysis

In this the inflow and outflow of the fluid is controlled through an automated machine and which is usually done during night time and its exchanges are of shorter period of time could be combined 1 or 2 manual exchanges with fluid. During day time the benefit of CAPD is slow ongoing dialysis which is more physiological, no vascular access is required.

It is a painless procedure that is not required to go to hospital and can be performed at home.

Problems Of Peritoneal Dialysis
  • Chances of abdomen infection is very high
  • High sugar
  • Protein loss
  • It needs to take very high protein intake
  • Abdomen fullness every time
  • Peritoneal dialysis catheter is to be placed
  • Can perform on his own need not to take his help from anybody
Peritoneal Dialysis

It is the treatment for kidney failure. A special kind of fluid which is sterile in nature, introduced into the abdomen through a permanent tube. This is placed in the peritoneal cavity. Fluid circulates through the abdomen to drain out impurities from blood vessels in the peritoneum; it is then drained from the body.

PD can be done at home, work, or even on trips. But it requires a special kind of supervision. PD patients also require regular working with dialysis technicians, nephrologist, dialysis nurse, and dietician.

Two types of peritoneal dialysis

  • CAPD – Continuous Ambulatory Peritoneal Dialysis
  • APD – Automated Peritoneal Dialysis
Special Instructions For Dialysis Patient:

Regular maintenance hemodialysis thrice weekly.

If a patient has good urine output, stable renal functions, minimal symptoms, potassium and phosphorus are controlled and interdialytic weight gain is not much than a patient can come twice weekly.

  • Good high protein low potassium diet
  • Good physical activity.
  • Regular investigation as per protocol.
  • Vaccination as per protocol.
  • Control of interdialytic weight gain.
  • Care of Vascular access
  • Care of dialysis catheter (avoid water soakage or soiling of catheter dressing).
  • Fistula (no blood pressure measurements and intravenous pricks on fistula arm)