Situations in which you must necessarily go to the hospital
- Turbid peritoneal fluid (peritonitis) appears, which may or may not be accompanied by abdominal pain, fever, or nausea. Take the bag to the hospital with the drained turbid liquid. If you are undergoing cycling treatment, have a manual swap and wait 2 hours before the fluid is drained. If the fluid is cloudy, go to the hospital.
- The extender becomes contaminated: fall of the protective cap, accidental contamination during the on / off. Make no change: You should pinch the catheter with the blue plastic clamp and go to the hospital. If you are connected to dialysis, disconnect.
- The catheter is broken The catheter is damaged spontaneously or by cut, and the extension is dropped: the catheter should be pinched with the blue forceps, at the closest part of the catheter to your body and to the hospital.
Situations in which you should consider going to the hospital
- Hematic peritoneal fluid (hemoperitoneum) appears, a pink peritoneal fluid (such as meat wash water). Consider going to the hospital if the bleeding is significant and / or is accompanied by abdominal pain and / or complete catheter obstruction. There are situations in which this can happen, for example in ovulation in a woman or polycystic kidneys. Generally send alone. Allow fluid to flow in and out, as if it were being washed, until it rinses out, thus helping to prevent the catheter from clogging. It is also useful to do the exchanges with the liquid without heating.
- There are changes in appearance at the exit hole of the peritoneal catheter, such as redness around the hole, pain when touched or suppuration through the hole. Go to the hospital if you are accompanied by abdominal pain or cloudy fluid should go to the hospital. If pain or cloudy fluid is not accompanied, perform the cure on a regular basis and contact the nephrology service to arrange an appointment and evaluate the orifice.
- There is fluid leakage around the outlet hole. There may also be fluid leakage to the genitals, swelling. Stop the exchanges, leaving the abdomen empty. After assessing the hospital leak, it will be decided whether to continue cycling dialysis or rest the peritoneum for a while and to perform hemodialysis during this break.
- There is little or no peritoneal drainage (constipation, fibrin, catheter displacement, etc.): if you notice that the fluid is very slow or not flowing out, or that there is fibrin (like egg white) floating in the peritoneal fluid, call the Nephrology Service. If constipated, it will be resolved by taking an X-Prep type laxative. Increasing bowel movement and emptying it will help the catheter to function better. Value at the next exchange. If there is fibrin, you should administer heparin to the dialysis fluid in the way you were instructed.
- Have problems during infusion and drainage (catheter obstruction due to fibrin, constipation, etc.): If the fluid does not come out or enter or is very difficult, and fibrin can be seen in the fluid, call the Nephrology Service. Check the catheter again by performing another swap. If constipated, take X-Prep. If there is fibrin, add heparin to the bag. If it still persists, go to the hospital.
Situations in which it is not necessary to go to the hospital
- If you have problems with the cycler. If you are at the beginning of treatment, start again. At any other point, disconnect it, note the parameters (evaluate if it is empty, full, etc.). Continue with manual until the next day you reconnect.