Paediatric Nursing (PAED)
PERITONEAL DIALYSIS IN A CHILD
Removal of waste products and excess fluid through the peritoneal membrane using dialysate.
Purpose
- Remove toxins
- Correct electrolyte imbalances
- Manage fluid overload
- Support renal function
Indications
- Acute kidney injury
- Chronic kidney disease
- Fluid overload
- Electrolyte disturbances
Equipment
- Peritoneal dialysis catheter
- Dialysate solution
- Transfer set
- Scale
- BP monitor
- Sterile supplies
- Warming device
Preparation
- Explain procedure
- Prepare environment
- Warm solutions
- Calculate volumes
Procedure steps
- Verify order
- Warm dialysate
- Position child
- Connect transfer set
- Infuse dialysate
- Allow dwell time
- Drain effluent
- Measure output
- Document procedure
Precautions
- Maintain sterility
- Monitor for infection
- Check effluent clarity
- Prevent air entry
Aftercare
- Monitor exit site
- Assess fluid balance
- Check electrolytes
- Document response
Nursing considerations
- Calculate based on weight
- Monitor growth
- Support family education
Patient education
- Teach home PD if applicable
- Explain infection prevention
- Discuss diet/fluid restrictions
Documentation
- Volumes in/out
- Dwell times
- Effluent characteristics
- Complications
References and further reading
Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.
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