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

3. 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.

4. 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.

5. 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.

6. Types of Peritoneal Dialysis
■ Continuous Ambulatory Peritoneal
Dialysis (CAPD)
 Continuous cycling peritoneal
dialysis (CCPD)

7. Indications
 Acute peritoneal dialysis
1. R.F after cardiac surgery
2. HUS
3. Cong. Urethral stricture
4. Bronchopulmonary
dysplasia
 Chronic peritoneal dialysis
1. ESRD due to
glomerulonephritis
2. ESRD due to chronic
infection
3. HUS
4. Cong. Renal artery stenosis

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

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