Question 1

what is peritoneal dialysis?

Accepted Answer

Peritoneal dialysis: This is a procedure similar to hemodialysis. Instead of hemoldialysis machine the peritoneum (lining over the gut) is used to remove toxic products such as urea and creatinine.

Question 2

what types of peritoneal dialysis are there?

Accepted Answer

PD: As far as i know there is only one type of peritoneal dialysis.  However it is personalized for each patient. There are several different catheters that can be used and the fluid used in the dialysis can be different based on a patient's membrane transport type and residual renal function.

Question 3

intermittent peritoneal dialysis cpt code?

Accepted Answer

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation
90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript.

Question 4

could patient on peritoneal dialysis swim?

Accepted Answer

No: I would strongly advise you against swimming or taking a bath. On the other hand if you cover your catheter exit site with plastic wrap and tape you can take a shower.

Question 5

what are hemodialysis and peritoneal dialysis?

Accepted Answer

Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home
peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity.

Question 6

why would i be on peritoneal dialysis not haemodialysis?

Accepted Answer

Independence: You can do pd at home or even if you are camping outside. You are not attached to hd unit on every other day basis. Also, your fluid and diet restrictions will be much easier. Also, the residual urine output will be lost much slower on pd than in hd. All of that will come at a cost of more responsibility.

Remember, salt restriction is big in both modalities.

Question 7

what would the life expectancy of peritoneal dialysis at 13% be?

Accepted Answer

Depends: Peritoneal dialysis allows patients with kidney disease to not suffer symptoms of kidney failure and to not die from their disease.  The life expectancy really depends on how healthy the patient is and how compliant they are with the treatment recommendations.  Most deaths of dialysis patients are cardiovascular.  If the patient has a bad heart the likelihood of death increases.

Question 8

how long is continuous ambulatory peritoneal dialysis continued?

Accepted Answer

It depends on: Doctors prescription. It is usually a few to several hours. The word continuous is used to denote several times daily without intrruption of schedule, not to leave the fluid in abdomen continuously.

This form of dialysis could be continued for long years.

Question 9

what is the cost of hemodialysis compared to peritoneal dialysis?

Accepted Answer

Don't know: This is variable. Would contact the facility or provider to obtain more information about the anticipated cost.

Question 10

can you have peritoneal dialysis if you also have a urostomy bag?

Accepted Answer

Possible: Peritoneal dialysis usually requires the patient to not have had surgery in their abdominal area. With a urostomy bag, the usual placement of a pd catheter might prove difficult.  However you might be able to have the pd catheter placed near you chest area. You should consult your vascular surgeon to see if he/she can place the catheter there.

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What are hemodialysis and peritoneal dialysis?

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Why would i be on peritoneal dialysis not haemodialysis?

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What would the life expectancy of peritoneal dialysis at 13% be?

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Can you have peritoneal dialysis if you also have a urostomy bag?

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