Etymed

peritoneal dialysis

periton- -eal dia- -lysis

Definition

A dialysis procedure that uses the peritoneal membrane as a filter to remove waste products and excess fluid from the blood

Clinical context

A 65-year-old man with end-stage renal disease presents to the emergency department with shortness of breath and bilateral lower extremity swelling. His creatinine is 5.2 mg/dL and BUN is 45 mg/dL. He is started on peritoneal dialysis due to his unstable cardiovascular status and inability to tolerate hemodialysis access. The procedure is performed using a catheter placed in the peritoneal cavity to introduce dialysate solution.

Mnemonic

PERITONEAL = P(Peritoneum) E(Excess fluid) R(Replace) I(Infuse) T(O) N(Electrolytes) E(L) A(L) L(Fluid removal)

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