Urinary Disorders Q 138 - Gyan Darpan : Learning Portal
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Monday 4 April 2022

Urinary Disorders Q 138

What is the appropriate infusion time for the dialysate in your 38 y.o. patient with chronic renal failure undergoing peritoneal dialysis?
    A. 15 minutes
    B. 30 minutes
    C. 1 hour
    D. 2 to 3 hours

Correct Answer: A. 15 minutes

Dialysate should be infused quickly. The dialysate should be infused over 15 minutes or less when performing peritoneal dialysis. The fluid exchange takes place over a period ranging from 30 minutes to several hours. Each exchange takes about 30 to 40 minutes. During an exchange, yothe client can read, talk, watch television, or sleep. With CAPD, the client can keep the solution in the belly for 4 to 6 hours or more. The time that the dialysis solution is in the belly is called the dwell time. Usually, the client changes the solution at least four times a day and sleep with solution in the belly at night

Option B: The client’s schedule will change as he works his dialysis exchanges into his routine. If he does CAPD during the day, he has some control over when he does the exchanges. However, he’ll still need to stop his normal activities and take about 30 minutes to perform an exchange. If he does automated peritoneal dialysis, he’ll have to set up his cycler every night.
Option C: Between exchanges, the client keeps his catheter and transfer set hidden inside his clothing. At the beginning of an exchange, he’ll remove the disposable cap from the transfer set and connect the set to a tube that branches like the letter Y. One branch of the Y-tube connects to the drain bag, while the other connects to the bag of fresh dialysis solution.
Option D: With automated peritoneal dialysis, a machine called a cycler fills and empties the belly three to five times during the night. In the morning, the client begins the day with a fresh solution in his belly. He may leave this solution in his belly all day or do one exchange in the middle of the afternoon without the machine. People sometimes call this treatment continuous cycler-assisted peritoneal dialysis or CCPD.

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