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Peritoneal Dialysis

K G Ellis, R G Lea, R D Drysdale

    Canadian Medical Association Journal
    |March 24, 2010
    PubMed

    Insights

    Peritoneal dialysis is a practical and valuable treatment for chronic uremia and intoxication in small hospitals. Graduate nurses can perform the procedure under supervision, demonstrating its feasibility.

    Area of Science:

    • Nephrology
    • Toxicology

    Background:

    • Chronic uremia requires renal replacement therapy.
    • Glutethimide intoxication can be life-threatening.

    Purpose of the Study:

    • To evaluate the feasibility and practicality of peritoneal dialysis in a community hospital setting.
    • To assess the role of nurses in performing peritoneal dialysis.

    Main Methods:

    • Peritoneal dialysis was performed on three patients with chronic uremia and one with glutethimide intoxication.
    • The procedure was initiated by physicians and continued by graduate nurses under supervision.

    Main Results:

    • Peritoneal dialysis was technically simple and could be sustained for up to six days without difficulty.
    • The procedure proved practical for managing uremia and intoxication in a non-teaching hospital.

    Conclusions:

    • Peritoneal dialysis is a viable and effective treatment option for small, non-teaching hospitals.
    • Training medical staff on indications, technical details, and complications is crucial for successful implementation.

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