The use of peritoneal dialysis on an acute basis is increasing each year. Peritoneal dialysis pulls waste products and excess water out of the blood stream and into dialysate solution in the peritoneal cavity. When patients arc unstable hemodynamically, have severe cardiovascular disease, already require peritoneal dialysis, or are small children, peritoneal dialysis is the preferred treatment. Patients may be dialyzed using either a cycler or manual peritoneal dialysis. Patients should be monitored carefully for volume status, bowel status, and infection. Potential complications include problems with access, infection, pain, respiratory status, fluid imbalance, and potassium imbalance. Special consideration should be given to nutritional status because critically ill patients often need increased intake. Drug therapy needs modification because excretion of drugs by the kidney is delayed. Patient and family support is important because of decreased ability to understand, anxiety, loss of control, and change in body image. Treatment termination also may be an issue
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Renal Replacement| August 01 1992
Peritoneal Dialysis in the Critically Ill Patient
Linda J. Smith, BAN, RN, CNN
From the Department of Home Dialysis, Kidney Disease and Critical Care Associates, P.A., Minneapolis, Minnesota.
Reprint requests to Linda J. Smith, BAN, RN, CNN, 920 E. 28th Street, Suite 460, Minneapolis, MN 55407.
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AACN Adv Crit Care (1992) 3 (3): 558–569.
Linda J. Smith; Peritoneal Dialysis in the Critically Ill Patient. AACN Adv Crit Care 1 August 1992; 3 (3): 558–569. doi: https://doi.org/10.4037/15597768-1992-3003
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