NCLEX-PN

●​ After the session, the nurse records the session's duration, post-treatment vital signs, blood glucose levels, and laboratory values.

Peritoneal Dialysis: A Nighttime Solution Peritoneal dialysis is a daily treatment performed at home, ideal for clients at risk for anticoagulant complications or poor venous access . A catheter placed in the peritoneal space facilitates the procedure, consisting of fill, dwell, and drain cycles using dialysate. It is typically done during nighttime hours while the client sleeps. Similar to hemodialysis, the nurse preps the client by collecting vital signs and assessing access. During the treatment, the nurse monitors dialysate intake and output, ensures drainage remains clear, and troubleshoots issues like obstructions. Complications to monitor include peritonitis, site infections, respiratory distress, and mechanical problems. Pre-Peritoneal Dialysis ●​ Similar to hemodialysis, the nurse collects pre-procedure data, including vital signs, weight, and blood glucose levels. ●​ The nurse also assesses the catheter site and its patency. During Peritoneal Dialysis ●​ The procedure involves a fill, dwell, and drain cycle using dialysate fluid ordered by the physician Complications and Care During Peritoneal Dialysis Potential complications include peritonitis, catheter site infections, respiratory distress, protein depletion, hyperglycemia, and mechanical problems like catheter obstruction. ●​ The nurse monitors the procedure, measures, and records dialysate volume and drainage color , and assesses the client for complications. ●​ In case of catheter obstruction , the nurse ensures the drainage bag remains below the abdomen level, may milk the tube to release clots, and repositions the client for better inflow and outflow. ●​ After the session, the nurse assesses and documents the session's duration, the client's weight, post-treatment vital signs, blood glucose levels, and laboratory values. Post-Dialysis Care: Comprehensive Monitoring

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