peritoneal dialysis

Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Health care providers call this lining the peritoneum. A few weeks before you start peritoneal dialysis, a surgeon places a soft tube, called a catheter, in your belly.

1. Peritoneal dialysis Prepared by: Abdulaziz m.Shahbaz

2. What is Peritoneal Dialysis? Peritoneal Dialysis (PD) is a treatment that utilizes the peritoneum, as a filter to remove wastes from the body. This type of dialysis requires a care partner to help with the process. The peritoneum does a similar job as the dialyzer on a dialysis machine during treatment or that the kidneys do every day. Waste products and fluid pass through the membrane into dialysate (dialysis fluid) and the fluid is drained with the waste products.

3. How I t works ? Osmosis and ultrafiltration : by the high dextrose concentration excess body water is removed. Diffusion : wastes are removed from the peritoneal capillaries into the dialysate.

4. Peritoneal Dialysis Catheter To prepare for PD therapy, patients need to undergo a small surgical procedure to have a catheter inserted into the abdomen. The surgery can be done percutaneous, through a laparoscopic surgery or an open surgical route.

5. Types of Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis (CAPD) Continuous cycling peritoneal dialysis (CCPD)

6. Indications Acute peritoneal dialysis R.F after cardiac surgery HUS Cong. Urethral stricture Bronchopulmonary dysplasia Chronic peritoneal dialysis ESRD due to glomerulonephritis ESRD due to chronic infection HUS Cong. Renal artery stenosis

7. Contraindications Adhesions following intra-abdominal surgery Peritoneal fibrosis Gastroschisis and omphalocele Hernia Colostomy Decrease lung Function Psychosis

8. Complications Injury to the nearby organs Peritonitis PD fluid leakage Protein loss Water-soluble vitamins and hormons loss Hernia Hyperglycemia