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July 2004, Volume 34 Number 7 , p 76 - 76


  • Shirley A. Zeigler RN, CRNP, MSN




    A 52-YEAR-OLD MAN performing continuous cyclic peritoneal dialysis (CCPD) therapy at home noticed that a section of his cycler tubing felt rougher than normal, yet the dialysate infused normally. During the initial drain, he saw fluid spurting and dripping from this rough area. He taped the tubing and completed his exchanges. Two days later, he developed abdominal pain and drained cloudy effluent. Diagnosed with peritonitis, he had to be hospitalized for antibiotic therapy.

    What went wrong: A CCPD system requires new tubing for each setup. The patient didn't realize that the rough area in the new tubing was a defect that compromised the system's sterility. When he saw fluid leaking from the tubing, he should have restarted the procedure with new tubing and informed his health care provider of the problem.

    Peritonitis is a common complication of peritoneal dialysis. Probably the most frequent cause is improper ...

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