Peritoneal dialysis patient completes successful pregnancy

This patient was able to meet seven of the expected outcomes. Her weight and nutritional status improved after initiating CAPD, which she performed safely and effectively. She closely monitored her vital signs and appropriately notified the obstetrician when her blood pressure became elevated. She maintained proper fluid balance. The patient was successfully treated for exit site infection with antibiotics. She self-administered intraperitoneal antibiotics for peritonitis successfully. In spite of the infections, hypertension, and poor nutrition, the patient was able to complete her pregnancy to the 35th week and delivered a small, but healthy infant. Frequent monitoring and a team approach to S.B.'s well-being contributed greatly to her delivery of a viable infant. The education and training provided by the nephrology nurses was a key element in the successful management of the patient.