How Do I Approach the Peritoneal Dialysis Patient with Pain/Fever?
In contrast to hemodialysis, peritoneal dialysis is a method of chronic renal replacement therapy available to patients for home use. However, with indwelling peritoneal catheters and independent patient management, complications arise leading to acute care evaluations. Infections requiring antibiotics are common, both intraperitoneal and at the catheter exit site. Catheters may become dislodged, kinked, or malpositioned within the peritoneum causing difficulty instilling or draining effluent. Surveillance for hyperkalemia and other acute complications of renal failure is paramount, as these complications may require acute stabilization and/or transition to emergent hemodialysis.
KeywordsAbdominal Pain Dialysate Peritoneal Dialysis Peritonitis Tenckhoff Catheter
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