University of Nairobi Polycystic Kidney Disease Peritoneal Dialysis Case Study

Question Description

A 36-year-old woman who is married and has two adopted children is diagnosed with polycystic kidney disease. The health care provider has advised her to seriously consider peritoneal dialysis (PD).

1. What additional data should the nurse collect?

2. How would the nurse briefly describe the process of dialysis to the patient? Include information about the following questions:

a. In peritoneal dialysis, what is the membrane through which the process occurs?

b. Identify the types of peritoneal dialysis.

c. What is used to prevent fibrin clot formation in peritoneal dialysis?

d. How is peritonitis identified and diagnosed in the patient receiving dialysis?

3. Identify the source of possible problems with the flow of dialysate in patients undergoing PD.

4. What are the protein needs of the patient receiving PD?

5. Because of the long distance the patient lives from the medical center, she elects to begin continuous ambulatory PD. What would be included in a plan of hospital care for the patient for this procedure?

6. What could the nurse explain and demonstrate about the steps of caring for the dialysis catheter?

7. The patient has been performing PD at home. She calls the nurse to report about outflow from the first PD. What does the nurse tell the patient about the appearance of the outflow?

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