Why is this procedure done?
Peritoneal dialysis or PD replaces the work of your kidneys. It removes extra water, wastes, and chemicals from your body when your kidneys are not working normally. This type of dialysis uses the lining of your belly to filter the wastes from your blood. A tube or PD catheter needs to be placed in your belly. About 6 to 12 inches of this tube is left outside the belly. The solution enters your body through the tube. It then drains out through the same tube. The solution that drains out has all the waste in it. � �
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What will the results be?
The PD tube will let solution enter and drain from your body. Wastes and extra fluid will be removed. This will help keep your blood pressure and the minerals in your body normal. � �
What happens before the procedure?
Your doctor will take your history and do an exam. Talk to your doctor about: � �
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin � �, ibuprofen, Aleve � � (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
- When you need to stop eating or drinking before your procedure.
What happens during the procedure?
- Once you are in the operating room, you will lie on a table. You will be given a drug that will keep you free from pain and comfortable while the tube is put in. You may be asleep or awake during the procedure. A needle will be put into a vein, called an I.V., to give you fluids and drugs. You will also be hooked up to a machine that will check your blood pressure and heart rate.
- Your belly is cleaned with a special solution to reduce the germs. A small cut is made on your belly and then a soft, plastic tube is put in through the cut. The tube is stitched in place and covered with a bandage.
What happens after the procedure?
You will be sent home. You will be asked to return in 2 weeks to learn how to do PD in your home. � �
What drugs may be needed?
The doctor may order drugs to: � �
- Help with pain
- Prevent infection
What problems could happen?
- Infection
- Bleeding
- Hernia
- High blood sugar levels
Helpful tips
- Loop your PD tube to make a "C " � shape before putting the dressing on. This will give a little support if you accidentally pull on your tube.
- Wear loose clothing that will not rub on your tube.
- Ask your doctor about underwear and belts made for people with PD tubes.
- Do not warm your PD solution in a microwave.
- Schedule when you need to get supplies so you do run out of them.
Where can I learn more?
Kidney Dialysis Information Centre � �
http://www.kidneydialysis.org.uk/peritoneal-dialysis.htm � �
National Kidney and Urologic Diseases Information Clearinghouse � �
http://kidney.niddk.nih.gov/kudiseases/pubs/peritoneal/ � �
National Kidney Foundation � �
http://www.kidney.org/atoz/content/peritoneal.cfm � �
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. � �
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Copyright � � 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. � �