Explain the process of peritoneal dialysis

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Reference no: EM133917164

Question

Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal failure and has continuous peritoneal dialysis (CAPD) exchanges every 6 hours. The Tenckhoft peritoneal catheter site has redness, which goes across the abdomen. The client states that her abdomen is tender to touch all over, and the nurse notes the abdomen is rigid. The bowel sounds are decreased, and the peritoneal dialysate is in the dwelling phase of the cycle. The vital signs are T, 101°F; BP, 140/90 mm Hg; HR, 110 beats/minute; RR, 28 breaths/minute. Answer each question below:

1. Why does the client have a rigid abdomen?

2. Explain the process of peritoneal dialysis? Why must the client's blood glucose be checked when they are receiving peritoneal dialysis?

3. The following lab values will have a change from normal if the peritoneal dialysis is missed for 3 consecutive days: Potassium, Sodium, magnesium, calcium, and phosphorus. Indicate if they will be lower or higher than normal.

4. For the lab values in letter c, explain why each of these is lower or higher than normal.

5. What will the lab values of specific gravity and urine creatinine clearance be if the client cannot have her dialysis?

6. Explain why her blood pressure and heart rate would be elevated if she did not have her dialysis.

Reference no: EM133917164

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