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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Example of postprocedure orders for urgent-start peritoneal dialysis catheter placement

Example of postprocedure orders for urgent-start peritoneal dialysis catheter placement
Do not remove or replace catheter dressing for seven days (unless soaked with blood, loose, or soiled).
Assess catheter function:
Infuse and drain 500 mL of 1.5% dextrose dialysate into catheter with patient supine (no dwelling of dialysate required).
If the effluent is clear and the catheter demonstrates normal function, drain effluent and leave abdomen empty.
If effluent is blood tinged (pink or fruit-punch color), repeat exchanges with heparin (500 units/liter) until effluent clears.
If effluent is frankly bloody or becoming increasingly bloody with exchanges, perform exchanges without heparin.
If effluent is bloody after the fourth exchange, inform physician, fill catheter lumen with heparin (heparin 1000 units/mL), and stop additional exchanges.
Original figure modified for this publication. Ghaffari A. Urgent-start peritoneal dialysis: A quality improvement report. Am J Kidney Dis 2012; 59:400. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 97195 Version 1.0

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