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Doctor insights on: Peritoneal Dialysis Catheter Placement Cpt

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What exactly is peritoneal dialysis catheter manipulation?

What exactly is peritoneal dialysis catheter manipulation?

PD Catheters: This is a procedure that is used to get a malfunctioning catheter to work again. There are many different ways this is done - putting a wire down the catheter or putting other devices down the catheter. Ask you doctor for a more thorough explanation. ...Read more

Dr. Jared Fialkow
385 Doctors shared insights

Peritoneal Dialysis (Definition)

One of the options for treatment of end stage kidney disease, the other options are hemodialysis and kidney transplantation. In peritoneal dialysis a tube is placed surgically in the belly. One end is in the peritoneal cavity and the other end is outside. Dialysis fluid is placed in the peritoneal cavity through the tube. The peritoneum acts as a filter, and drained ...Read more


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When can I expect my peritoneal dialysis catheter be removed?

When can I expect my peritoneal dialysis catheter be removed?

When infection occur: Peritoneal catheter can serve for long years unless a resistant infection develops or open abdominal surgery is needed. ...Read more

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Is there anything that can protect the catheter site during peritoneal dialysis?

Yes: Keep it covered and without tension on the exit site, and use a antibacterial cream recommended by your nephrologist. Contact your nurse if you notice any redness or discharge. ...Read more

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Do I need to be very careful in catheter care during peritoneal dialysis?

Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead. ...Read more

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Can I restart peritoneal dialysis after having removed the catheter due to peritonitis, as I've blood clotting, deep vein issues with heamodialysis?

Can I restart peritoneal dialysis after having removed the catheter due to peritonitis, as I've blood clotting, deep vein issues with heamodialysis?

Difficult: After peritonitis, cavity will be obliterated, forms adhesions, loculations, will not allow free inflow and out flow, all the fluid will not return, also have to wait wks or months for pd, renal transplantation is best alternative, . ...Read more

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What is the definition or description of: dialysis catheter insertion?

What is the definition or description of: dialysis catheter insertion?

See below: A dialysis catheter is a conduit to access either the blood stream or the peritoneal cavity to enable to performance of dialysis.
Hemodialysis catheters can be acute or temporary or chronic and in that case tunnelled under the skin. Peritoneal catheters are always tunnelled and enter the abdominal wall. Insertion is done with local anesthesia under ultrasound guidance or surgically. ...Read more

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Why does a dialysis catheter clog sometimes?

Catheter Clogs: Causes of intermittent peritoneal dialysis catheter malfunction are: 1) a tissue called the omentum has wrapped itself around the catheter; 2) the catheter openings are up against the bowel; or 3) the catheter openings are against the lining of the abdominal cavity called the peritoneum. One added reason that really is serious is impending infection. Need to talk with your dr. About this. ...Read more

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I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

Loss of urine: This is average, actually, for a person on peritoneal dialysis. Over about 5-8 months, a person receiving hemodialysis loses urine production. A person receiving peritoneal dialysis typically retains urine flow for 1-2 years, sometimes longer. Loss of urine flow diminishes native kidney clearances, so your diet will have to be stricter and your nurse/doctor may have to raise dialysis bags/day. ...Read more

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Does it hurt to get a peritoneal dialysis done?

Does it hurt to get a peritoneal dialysis done?

Not usually: Placing a catheter to start peritoneal dialysis catheter may involve some discomfort in the postoperative period which may last a few days. Peritoneal dialysis involves filling the abdominal cavity with water like solution to remove bodily toxins. Overall peritoneal dialysis is virtually painless if done properly. ...Read more

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Intermittent peritoneal dialysis cpt code?

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. ...Read more

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How long is continuous ambulatory peritoneal dialysis continued?

CAPD Duration: It continues until there is no longer a need for dialysis. Here is an excellent resource for you to read on the internet: http://kidney. Niddk. Nih. Gov/kudiseases/pubs/peritoneal/. ...Read more

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

Yes: It can certainly be done if you have the right person to place the catheter. I will be happy to help you with that. ...Read more

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Home peritoneal dialysis vs center hemodialysis, which one is safer?

Home peritoneal dialysis vs center hemodialysis, which one is safer?

Depends on patient: In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer. ...Read more

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What diet changes should I make while I am doing peritoneal dialysis?

What diet changes should I make while I am doing peritoneal dialysis?

Low phosphorus: People on dialysis generally need to limit salt intake to avoid swelling. Also you may need to avoid foods high in phosphorus and potassium. Examples of phosphorus rich foods include dairy products, chocolate, dark colored colas. Examples of high potassium foods include oranges, orange juice, bananas. ...Read more

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What are some things peritoneal dialysis patients should know about traveling?

It can be done!: Patients on either hemodialysis or peritoneal dialysis can travel the world with advance planning. You will need to work with your home dialysis center to travel with enough supplies or be able to get them at your destination. You will want to be current with your vaccinations and have a plan in case you become ill while traveling. Make sure you plan for possible delays while traveling. ...Read more

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How are wastes and excess water actually eliminated during peritoneal dialysis?

Concentrations: Concentrations of waste are zero in the dialysis fluid. Combined with the glucose and other substances in the dialysis fluid "drags" waste and water out of the blood and changing the bags as has been prescribed by your kidney doctor results in less waste and water in the body. It's all based on the behavior of fluids and physical chemistry. Great question! ...Read more

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What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more

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In peritoneal dialysis, what is the color the returned dialysate (cleansing solution) should be?

Light amber: The PD fluid is normally clear and very light yellow (like a very diluted urine!). The most important thing is it should be clear (as opposed to turbid). The best test of clarity of fluid is to place a piece of newspaper under the bag, you should be able to read it through, if not, it's called turbid and highly suspicious for infection! ...Read more

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Has long does a peritoneal dialysis tube last?

Has long does a peritoneal dialysis tube last?

Years unless: Infection or mechanical complications like unexpected damage to a catheter may end up causing catheter to be changed. ...Read more

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Why exactly does peritoneal dialysis need a greater amount of protein?

Why exactly does peritoneal dialysis need a greater amount of protein?

Protein loss: Due to its anatomy the natural peritoneal membrane used in this kind of dialysis is a leaky one that allows passage of proteins especially Albumin to the fluid that will be discarded in the bag after dialysis so a good diet with proteins is a must. ...Read more

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Hi doctors, can you tell me what is hemodialysis and peritoneal dialysis?

Hi doctors, can you tell me what is hemodialysis and peritoneal dialysis?

Types of dialysis: The answer to your question is too long to answer here. Please go to this link for a detailed answer to your question.

http://www. Davita. Com/kidney-disease/dialysis

Good luck. ...Read more

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What are the chance of, if at all, resuming peritoneal dialysis following open cholecystectomy?

Not good: It is possible to resume pd after large open surgery is some cases. You should review this with your surgeon and nephrologist to see if you can try again. ...Read more

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How does automated peritoneal dialysis really work?

Automated by 2 ways: Some machines put liquid in the abdomen and pull it out by gravity i.e. The machine is located below the level of the bed on which the patient lies. The other does not use gravity but creates gentle negative pressure to suck the fluid back. You know the rest, the liquid that remained sometime inside the belly comes out with waste removed from the capillary circulation of the peritoneum by osmosis. ...Read more

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What role do films play in peritoneal dialysis exit sites?

Peritoneal: X-rays can show if the peritoneal catheter is in the right place or if there are kinks in the catheter that can affect you dialysis. It can also show if omentum or any other intestinel issue (constipation) is playing a role in decreased flow rates and dialysis problems. ...Read more

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What exactly is continuous ambulatory peritoneal dialysis (capd)?

Type of dialysis: Capd is a form of dialysis which involves inserting a tube into the abdominal cavity and the lining of the cavity the peritoneum, acts like a kidney and exchanges waste when you instill a special fluid into the cavity via the tube. If you do it 3-4 times a day you can draw the waste out. This different from blood/hemo dialysis. The peritoneal dialysis can be done at your home. ...Read more

Dr. Quresh Khairullah
518 Doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


Catheter (Definition)

A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more