Tidal peritoneal dialysis in a patient with cystic fibrosis.
During the brief time P.H. was treated with PD, the following outcome criteria were achieved: The patient maintained his desired weight, nutritional status, hematocrit, and fluid volume status within established parameters. He was independent in his care and demonstrated appropriate and safe problem-solving techniques. Although the nephrology staff had expected behavioral problems typical of a chronically ill child, we quickly learned that preconceived ideas are not always the case. Individualizing a dialysis regimen that provided adequate solute clearance and sufficient ultrafiltration for this patient with multiple health problems was a case management challenge for the entire nursing staff. Unfortunately his extrarenal medical problems affected a change in his chosen dialysis modality. With his volume and membrane limitations, it was doubtful he could have continued on PD for a prolonged period once his residual renal function diminished. We were optimistic that he would return to our program following this hospitalization, but the decision was taken out of our hands.
Craig
A C
AC
Kuharcik
C M
CM
D000328:Adult; D003550:Cystic Fibrosis / Q000150:complications*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy*; D008297:Male; D010347:Patient Care Planning; D010530:Peritoneal Dialysis / Q000379:methods / Q000451:nursing*