Pre, Intra and Post Operative Care of Dialysis

Pre-care of Patient with Dialysis

·         Explain procedure to family and family

·         Encourage family and patient to verbalize fears and concerns and to ask questions

·         Assess Weight, blood pressure, heart rate and rhythm, respiratory rate and quality, temperature and dialysis vascular access.

·         Assess patient’s general condition including edema, skin, mental status and ability to ambulate

·         Evaluate complains like dizziness, headache, fever, chills etc  before dialysis

·         Review laboratory test results prior to initiation of treatment.

Intra-care of Patient with Dialysis

·         Monitor vital signs every 15min initially and subsequently at hourly intervals

·         Notify physician if any sign of bleeding, severe abdominal pain and respiratory distress

·         Monitor serum electrolytes, blood chemistries, hematology studies

·         Use strict aseptic technique to avoid peritonitis

·         Assess patient frequently for pain/discomfort

·         Assess dialysis drainage: cloudiness suggests peritonitis

Post-care of Patient with Dialysis

·         Perform PD catheter site care

·         Assess for signs/symptoms of infection: redness, swelling, tenderness

·         Remove dried blood and drainage

·         Cleanse exit site gently and cover site with sterile gauze and secure dressing