Peritoneal dialysis (PD) is a treatment that uses the peritoneum as a filter to remove waste from the body, requiring the assistance of a care partner. The process involves a catheter inserted into the abdomen and utilizes osmosis and diffusion to remove excess water and waste products. There are different types of PD, including CAPD and CCPD, with specific indications, contraindications, and potential complications.

1. PERITONEAL
DIALYSIS
Prepared by:
Abdulaziz m.Shahbaz

3. What is Peritoneal Dialysis?
■ Peritoneal Dialysis (PD) is a treatment that utilizes the peritoneum, as a filter to
remove wastes from the body. This type of dialysis requires a care partner to help
with the process.
■ The peritoneum does a similar job as the dialyzer on a dialysis machine during
treatment or that the kidneys do every day.
■ Waste products and fluid pass through the membrane into dialysate (dialysis fluid)
and the fluid is drained with the waste products.

4. How I t works ?
■ Osmosis and ultrafiltration : by the high dextrose
concentration excess body water is removed.
■ Diffusion : wastes are removed from the peritoneal
capillaries into the dialysate.

5. Peritoneal Dialysis Catheter
■ To prepare for PD therapy, patients need to undergo a small surgical
procedure to have a catheter inserted into the abdomen.
■ The surgery can be done percutaneous, through a laparoscopic
surgery or an open surgical route.

6. Types of Peritoneal Dialysis
■ Continuous Ambulatory Peritoneal
Dialysis (CAPD)
 Continuous cycling peritoneal
dialysis (CCPD)

7. Indications
 Acute peritoneal dialysis
1. R.F after cardiac surgery
2. HUS
3. Cong. Urethral stricture
4. Bronchopulmonary
dysplasia
 Chronic peritoneal dialysis
1. ESRD due to
glomerulonephritis
2. ESRD due to chronic
infection
3. HUS
4. Cong. Renal artery stenosis

8. Contraindications
 Adhesions following intra-abdominal surgery
 Peritoneal fibrosis
 Gastroschisis and omphalocele
 Hernia
 Colostomy
 Decrease lung Function
 Psychosis

9. Complications
■ Injury to the nearby organs
■ Peritonitis
■ PD fluid leakage
■ Protein loss
■ Water-soluble vitamins and hormons loss
■ Hernia
■ Hyperglycemia