Continuous dialysis makes fluid control easier, which may minimise heart and blood vessel stress. Eat more and use less medication. Work and travel are easier.

Peritoneal dialysis isn’t for everyone. Peritoneal dialysis may be difficult or impossible for very obese patients or those with multiple abdominal procedures. Peritonitis (abdominal infection) is rare yet preventable. Peritoneal dialysis, like kidney dialysis, is done daily and may be gentler on the body. Peritoneal dialysis is equally effective as hemodialysis.

Not everyone needs peritoneal dialysis. Training is needed to conduct each therapy procedure appropriately. Peritoneal dialysis filters blood using the belly lining to treat kidney failure. This is peritoneum lining.

A surgeon inserts a catheter into your abdomen a few weeks before peritoneal dialysis.

Dialysis solution—salty water with additives—flows from a bag through the catheter into your belly when treatment begins. After emptying the bag, you cap your catheter and move around. The dialysis solution collects waste and fluid from your gut.

The solution and wastes leak from your belly into the empty bag after a few hours. You can flush the solution. Restart with a new bag of dialysis solution. Fresh solutions absorb trash quickly. Time slows filtration. Hence, you must empty and refill your belly four to six times a day.

With a pump, you can exchange fluids day or night. Do all exchanges as instructed for optimal results. Dialysis improves quality of life but does not cure kidney failure.

You may feel normal or bloated. Your belly may grow. Some need bigger clothes. No discomfort. Despite a solution-filled stomach, most patients feel OK.

Hand-to-hand exchanges are possible anywhere. 30–40 minutes per exchange. Read, talk, watch TV, or sleep during an exchange. CAPD requires ingesting the solution for 4–6 hours. Dwell time is when the dialysis solution is in your stomach. You usually change the solution four times a day and sleep with it in your abdomen. Exchanges don’t require nighttime waking.

A cycler fills and empties your abdomen three to five times a night with automated peritoneal dialysis. Fresh solution starts your day. This solution can stay in your tummy all day or be exchanged in the afternoon without the machine.

Your tummy will be catheterized before your first treatment. Catheter implantation three weeks before your first exchange improves treatment success.

The catheter works best after 10–20 days of healing before starting a full schedule of exchanges.

The surgeon will cut a small slit below and to the side of your belly button and insert the catheter into your peritoneal cavity. You may stay in the hospital overnight after receiving general or local anaesthetic. Most can go home following the operation.

Most people can self-perform both types of peritoneal dialysis with training. A dialysis nurse will teach you exchanges and infection prevention for 1–2 weeks. Most train with family or friends. If you get sick, a trained friend or family member can help with exchanges. If you choose automated peritoneal dialysis, you must learn how to make exchanges by hand in case of a power failure or if you need daytime exchanges.

Your health care team will supply everything you need to start peritoneal dialysis and assist you schedule monthly home deliveries of dialysis solution and surgical masks. Preventing infection by washing your hands and wearing a surgical mask while connecting your catheter to the transfer set.

Transfer sets link your catheter to the dialysis bag. To avoid infection, your catheter’s tube will have a secure cap. The cap connects to any transfer set. Between exchanges, hide your catheter and transfer set in your clothes. Before an exchange, remove the disposable cap from the transfer set and connect it to a Y-shaped tube. The Y-tube branches connect to the drain bag and the fresh dialysis solution bag. Dextrose and icodextrin concentrations vary. Your physician will recommend a formula.

Cyclers fill and drain your abdomen in automated peritoneal dialysis. The cycler lets you programme dialysis solution amounts and times.

You set the machine to do three to five exchanges each night. One bag of dialysis solution each exchange is connected to the cycler’s tubing. The machine may feature a specific tube to connect the bag for the last changeover of the night. It will still take 30 minutes to swap. Automated peritoneal dialysis requires nightly cycler setup.

B.VoC in Dialysis Technology Eligibility criteria:

• 12^th Class from any recognized board.
• Students (ArtsCommerce/Science) of any age can apply.
• A minimum score of 50% in the 12^th

Join Shri Ram Medical College’s Bachelor of vocation and Master of Vocations in Dialysis Technology and Take the First Step Toward a Successful Career in Hospitals.

We are here to assist you in launching your medical career. Call us at 9968193009 for more information about our programme or to submit an application right away.

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