title: "Black"-Appearing Peritoneal Effluent.
abstract: When encountering unusually appearing dialysate effluent from a patient doing peri- toneal dialysis, it is important to review the patient's recent exposures. In the case of "black"-appearing dialysate effluent, consideration needs to be given to the possibility of someone having undergone a colonoscopy and having tattooing with India ink. Nephrology nurses are frequently the first to be notified when there has been a change in the character of a patient's peritoneal dialysis dialysate effluent. This article describes a case of "black"-appearing dialysate and includes some of the potential differentials that were considered in the evaluation process. Even though "black"-appearing dialysate is a rare occurrence, nephrology nurses need to be aware of some of the potential etiologies, including exposure to India ink.
authors.forename: Carol M
authors.initials: CM
authors.lastname: Headley
authors.forename: Adnan
authors.initials: A
authors.lastname: Naseer
authors.forename: Manjunath
authors.initials: M
authors.lastname: Ramaiah
authors.forename: Barry
authors.initials: B
authors.lastname: Wall
authors.forename: Geeta
authors.initials: G
authors.lastname: Gyamlani
mesh_terms: D001202:Ascitic Fluid / Q000737:chemistry*; D002244:Carbon / Q000009:adverse effects*; D003113:Colonoscopy / Q000009:adverse effects*; D004509:Education, Nursing, Continuing; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000378:metabolism*; D010538:Peritonitis / Q000150:complications* / Q000382:microbiology; D006435:Renal Dialysis / Q000379:methods; D013653:Tattooing / Q000009:adverse effects*
chemical_list: C028433:chinese ink; D002244:Carbon