Why is there blood in my PD catheter?

Bloody peritoneal dialysate may be related to the peritoneal dialysis catheter, the peritoneal dialysis procedure, underlying kidney disease (such as polycystic kidney disease or acquired cystic changes), or factors unrelated to kidney disease (table 1).

What is appropriate care for a new peritoneal catheter exit site?

It is recommended to wash the catheter exit sites daily with liquid or antibacterial soap. Povidone iodine every 2-3 days has also been shown to decrease infection rates when compared to daily nonbactericial soap and water(8).

How do you know if PD catheter is infected?

What Are Some Symptoms of an Infected Catheter?

1. Pus draining from the catheter exit site.
2. Red streaks around the access area.
3. Red, inflamed skin.
4. Swelling, warmth, or increased pain.
5. Fever.

How do I clean my peritoneal dialysis exit site?

Procedure for Exit Site Care

1. Clean your exit site.
2. When showering, clean your exit site last using liquid antibacterial soap.
3. Rinse off the soap with water.
4. Spray your exit site with vinegar solution.
5. Pat dry with dry washcloth.
6. Secure your catheter with a small amount of slack to prevent pulling at the exit site.

Can you go swimming with a PD catheter?

Swimming is recommended in either sea water or private swimming pools. The PD catheter and exit site should be covered with either a clear waterproof dressing or colostomy bag. Routine exit-site care should be performed after swimming. Infections were rarely reported in those who swim.

Can you take a bath with a PD catheter?

You should not take a shower or bath or go swimming during this time. These water sources are not sterile and can cause an exit site infection. A washcloth or sponge may be used to clean the body, although you should be careful to keep the catheter and bandage dry.

How long does it take for a PD catheter to heal?

While healing, you should not exercise too hard or do much lifting. The exit site should be completely healed at 4-6 weeks. It is important to prevent constipation after the catheter is placed.

Why is my PD catheter not draining?

Editor: Outflow failure is attributed mostly to mechanical problems such as catheter migration, omental wrapping, constipation, and intraluminal obstruction with fibrin or clot; and it usually occurs shortly after initiation of peritoneal dialysis (PD).

What are the common organisms causing PD catheter exit site infection?

Common pathogens to cause ESI in PD patients include Staphylococcus aureus, coagulase negative staphylococcus (CNS), Pseudomonas aeruginosa , and other Gram-negative bacilli [2]. With the widespread application of exit site prophylaxis, there is a shift in causative agents for ESI.

How long does it take to heal from PD catheter?

How do you cover a PD catheter for swimming?

The PD catheter and exit site should be covered with either a clear waterproof dressing or colostomy bag. Routine exit-site care should be performed after swimming. Infections were rarely reported in those who swim.

How long does a PD catheter last?

When you do PD, your transfer sets will need to be changed every 6 months. This is a sterile procedure. It can be done in the clinic, or you can learn to do it at home yourself.

When to immobilize a catheter after internal bleeding?

An occasional instance of bleeding is seen after tugging and pulling of a catheter with resulting internal bleeding from anterior abdominal wall small vessels. Immobilization and protection of the exit site is recommended for a few days after the event to prevent further irritation and, in most cases, usually resolves the issue.

How to prevent complication of PD catheter insertion?

Using a titanium weight at the end of the catheter, front-loading , or laparoscopic salvage of the catheter with reposition and securing the internal tip of the catheter in the true pelvis with a stitch can prevent or correct this complication. Omental wrapping can occur at any time after catheter insertion.

Where is the trocar inserted in a PD catheter?

Laparoscopic technique. An extra 5 mm trocar is inserted under direct vision at the site of the planned exit-site position of the PD catheter (paraumbilical left or right 2– 3 cm below the umbilicus). This trocar is introduced through the anterior and posterior rectus sheaths, but not through the peritoneum.

Where does serous fluid accumulate in a PD catheter?

The reported frequency varies between 1 and 10%. Diaphragmatic defects are possibly more frequent than this, but go unrecognized until fluid is present in the peritoneal cavity and intraperitoneal pressure (IAP) increases. Women are affected more commonly than men and serous fluid predominately accumulates in the right pleural cavity.