Peritoneal Dialysis Catheter Care
WHAT YOU SHOULD KNOW:
Peritoneal dialysis catheter care is instruction on how to help keep your catheter working properly and to prevent infection. You will need to care for your catheter site by cleaning it and changing your bandages correctly.
Change your bandages:
Your primary healthcare provider (PHP) will change your bandages for the first 2 weeks. When your exit site is healed, you may need to change your bandages every day. A healed exit site is pink, and at least 13 millimeters (smaller than a dime). The area should not be painful. Change your bandages as follows:
- Collect your supplies:
- Sterile (clean and new) medical gloves
- Medical mask
- New bandages
- Soap and water
- Solution (as directed by your PHP) for removing old bandages and cleaning your skin
- Medical tape
- Clean towel or new paper towel
- Sterile (clean and new) medical gloves
- Wash your hands with soap and water. Scrub them for at least 15 seconds. Dry your hands well with a clean towel or new paper towel.
- Put on your mask and gloves. Make sure the mask covers both your nose and your mouth. This will help prevent germs from your nose or mouth reaching the exit site. Put on your gloves. Do not touch anything other than the bandage and your supplies when your gloves are on.
- Avoid moving your catheter. Do not pull or twist your catheter when you change your bandages. Make sure your catheter stays in place.
- Use the sterile solution to remove the old bandages. Pour the solution over bandages that are stuck on your exit site to loosen them. If there is a scab, do not pull on it. Remove the bandages slowly.
- Clean your wound, catheter, and skin. Wipe the exit wound, catheter, and skin around the catheter with a sterile solution. Pat the area dry with a clean towel.
- Cover your catheter and the exit site with a bandage. Cover your catheter when you are not using it to help it stay in place. This may help stop the catheter from bending and kinking, or being pulled out. Use several layers of bandages to cover the exit site and the skin around your catheter. Hold the bandages in place with tape.
Do not take a bath or shower until 2 weeks after your catheter was placed. Healing may be delayed if your exit site gets wet. Until then, use a washcloth, soap, and water to wash your skin. You may be able to shower when the exit site heals. Leave the bandages on until after you shower, and then put on new bandages. Do not submerge the exit site in water.
- Keep your catheter in place. Ask your PHP how to tape the catheter to your body. This may help prevent it from twisting and being moved or pulled out.
- Change your bandages every day, or as directed. You may need to keep your exit site covered with bandages for up to a year.
- Take antibiotic medicine as directed. This helps prevent or treat an infection caused by bacteria.
Fix a flow problem:
Inflow or outflow problems may mean that your catheter is blocked, or that the tube has moved out of the right place.
- If the inflow or outflow of the dialysate is slow , put 10 to 20 milliliters (mL) of dialysate or saline solution into the catheter with a syringe. Hold the catheter and syringe in 1 hand. Use your other hand to firmly push the dialysate out of the syringe, through the catheter, and into your abdomen. This may clear the blockage. Do this a few times and then use the syringe to try and pull fluid out gently. If fluid comes out, the catheter is no longer blocked.
- If the inflow of the dialysate is fast but there is no outflow , change your position while you do the exchange. If this does not help, disconnect the end of the tubing that is attached to your catheter. Use a syringe to gently suck the dialysate out of your abdomen. Reconnect the tubing once you have started the outflow.
Follow up with your PHP or specialist as directed:
Write down your questions so you remember to ask them during your visits.
Contact your PHP or specialist if:
- Your catheter exit site is red, tender, or draining pus.
- You have a fever and abdominal pain.
- The fluid that drains out of your abdomen looks cloudy.
- You see or feel a new lump on your abdomen.
- Your legs and feet are swollen.
- You see fluid leaking from the exit site.
- Your catheter is blocked, or you have a flow problem.
- You have questions or concerns about your condition or care.
Return to the emergency department if:
- You have trouble breathing when you do your exchanges.
- Your catheter has come part or all of the way out of your abdomen.
- You have stomach pain and are vomiting.
- Your catheter has a crack or hole in it.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.