can PD fluid sample containing IP antibiotics, be sent for cell count? Would it effect the WBC count? ANSWERED Saira U answered November 21, 2025
I have a patient with ESRD under peritoneal dialysis, and she was admitted for scheduled surgery for ventral hernia. I was wondering if peritoneal dialysis should be kept or should shift to hemodialysis after surgery! ANSWERED Roger Hsu answered November 21, 2025
How many patients are in peritoneal dialysis in the world? ANSWERED Martha Elena Devia answered September 4, 2025
How I can decide homey cycle to do and the fill volume for the patient? ANSWERED Alhosani answered May 23, 2025
Is there any support for the practice of changing transfer sets upon hospital admission when peritonitis is not suspected? I've seen the practice involving five-minute iodine soak/scrubs and I've also heard about outpatient clinics using CHG in a similar fashion, but is there a specific recommendation for this? Lastly, should the connection of an adaptor (e.g. a Baxter adaptor being added on top of a Fresenius transfer set) be performed the using the same sterile transfer set exchange procedure? Thanks! ANSWERED Daniel G answered May 23, 2025
Buenos días, soy nefrólogo en un hospital de Argentina. Quería preguntar cuál es su experiencia usando diálisis peritoneal en AKI, en pacientes sépticos, con asistencia respiratoria mecánica. No encontré mucha evidencia y queremos ver si es factible implementar este programa. Muchas gracias. Saludos. ANSWERED Raquel G answered May 23, 2025
Can a patient with hydrocephaly and ventriculoperitoneal shunt be a a candidate for peritoneal dialysis? ANSWERED INES answered May 23, 2025
Do patients lose residual function faster on APD compared to CAPD? ANSWERED lesley.germino answered May 23, 2025
Is there a maximum dwell time for intraperitoneal antibiotics? We currently teach to dwell for a minimum of 6 hours, but no specified maximum. OPEN An Y. asked April 14, 2025
How to become an ISPD member and volunteer (I am a full time employer of Baxter Kidney Care) ANSWERED Thanh Mac answered March 31, 2025
Where do I find the state specific PD home visit schedule guidelines? Thank you OPEN Heidi Clark asked March 28, 2025
Prior to culturing a suspected exit site infection, should the exit site area be cleansed prior to the swab culture? If so, how should the care be cleansed? ANSWERED RN answered October 15, 2024
Hi Nephrols, PD peritonitis Stenotrophomonas combination therapy with Bactrim and Levaquin is preferred choice or just Monotherapy with bactrim ANSWERED Syed answered September 12, 2024
How would you know that a patient has had a reaction / allergy to Icodextrin / Extraneal 7.5%? What are the symptoms? Is having a reaction to Icodextrin rare? Where can I find more information on this topic? ANSWERED Sara Guardado answered September 12, 2024
Hi, just wondering if pre-PD peritonitis rate should be calculated together with regular peritonitis rate when calculating for the yearly peritonitis rate KPI? Or do they need to be calculated separately? Thank you ANSWERED Mary Grace Pasadilla answered June 29, 2024
What are the concerns / possible complications of a long-unused PD catheter? After many discussions and many, many no-shows and missed training appointments, we are definitely not doing PD. However, this patient has also no-showed / canceled the appointments for the catheter to come out. It’s been in for months, approaching a year. I will, of course, keep trying to get her in for a catheter removal, but what should I be on the lookout for? ANSWERED Caroline H answered June 23, 2024
WIll you please provide the ISPD guidelines or protocols for prophylactic antibiotic treatments on PD patients going for colonoscopy and endoscopy procedure. ANSWERED Hasmik Mouradian answered June 20, 2024
I recently asked if the dwell time of dianeal matters in diagnosing peritonitis. The answer was (paraphrased) as long as it's in for 2 hours or longer. The second part of the questions is, does the amount of dianeal matter. If a patient comes in for peritonitis testing, and the center drains 300 cc's of fluid; can that amount of fluid be tested, and would the results be correct? Is there any type of dilution or concentration that may throw labs off? ANSWERED Anthony Mc Connell answered May 19, 2024
I was asked to do a home visit on a patient who needs to use a personal hot tub to relieve symptoms of a medical condition. He really wants to do PD. Is there anything a patient can do to mitigate the higher risk for infection if using a personal hot tub? We always educate patients that they are not allowed to submerge their PD catheter in bath/hot tub/lake water but okay to use personal well chlorinated pool and ocean. Any data on microbial bioburden of well maintained/chlorinated hot tubs? ANSWERED Ana, B answered May 19, 2024
Do peritoneal patient require to have hepatitis panels drawn prior to starting treatment and ongoing as hemodialysis patients? ANSWERED Sylvia Vaca-Hernandez answered May 19, 2024
In the case of peritonitis with sepsis, IV antibiotics alone are reasonable. Should we combine them with IP antibiotics? ANSWERED R.N. answered May 19, 2024
When we test for Peritonitis, we usually have the patient put in a liter or two, or the patient comes to our clinic and we put it in. I know the recommendation is to put it in for 1-2 hours. My question is; can you test the PD fluid if it's been in there longer? 3 hours, 4 hours longer? will it change the test for cell count and culture? ANSWERED Anthony Mc Connell answered April 12, 2024
for the use of 4.25% dwell, it is noted 4 hour is optimal, is this the case in all membrane types ANSWERED Nicky Warnecke answered March 21, 2024
Is anyone aware of an alternative to IP heparin to reduce the production of fibrin? I have a pt that has a severe allergy to heparin and a lot of fibrin. Thank you for your time. ANSWERED Lisa M answered March 19, 2024
Hello,I was wondering if anyone has had experience with PD patient who also have COPD and/or reactive airway disease, and if so, how they tolerated it? I researched this a little bit, but could only find articles referring to pt’s with mild COPD, and it basically stated that they might do better with CCPD/supine PD then CAPD, but have not found any information on patients who have more frequent exacerbations. ANSWERED Lindsey C. answered March 5, 2024
Can a patient with Crohn’s disease and an ileostomy be a candidate for peritoneal dialysis? ANSWERED Patti F answered March 5, 2024
Has anyone experienced any issues with infection for PD patients who use the sauna regularly? Have a patient who is interested in doing so and planned to provide the same guidelines/precautions as we do for swimming but wanted to reach out to see if anyone had any first-hand experience with this. Thank you! ANSWERED Rebecca R answered March 5, 2024
Hi, I was wondering if pre-PD peritonitis KPI rate can be measured and how can it be calculated. Thank you. ANSWERED Mary Grace Pasadilla answered March 5, 2024
Good morning, I am a pediatric dialysis NP and, as a group, we are looking at our Kt/V collection process. Specifically, how we are collecting effluent samples from overnight/midday exchange bags. We would be grateful if anyone would be willing to share their nursing protocol. OPEN Kristin McGuire asked February 23, 2024
I am looking for information on how long Peritoneal bags are permitted to be kept in a dry warmer? If you can provide a reference also, that would be fantastic. Only data I am finding is "short duration" or "as soon as possible". A specific BUD would be preferred. Thanks in advance! RESOLVED Jessica S. answered February 9, 2024
I am looking for information on how long Peritoneal bags are permitted to be kept in a dry warmer? If you can provide a reference also, that would be fantastic. Only data I am finding is "short duration" or "as soon as possible". A specific BUD would be preferred. Thanks in advance! RESOLVED Jessica S answered February 9, 2024
Looking for research on peritoneal dialysis on patients with ulcerative colitis, I was told it was contraindicated, any research or feedback would be great Thanks ANSWERED Lucie moisan answered August 29, 2023
Can a patient with nephrostomy tubes start PD, or do they have to wait until the nephrostomy tubes have been removed? ANSWERED Brittney C answered August 29, 2023
Is there any available guidelines on what fill volume should be used to commence a patient on PD when the catheter has been rested for longer that 2 weeks? In our unit we generally commence on 500ml fill volumes and increase slowly from there. Just wondering if there is any ISPD recommendation for this? Thank you ANSWERED Amanda U answered July 7, 2023
Is it required or beneficial to have patients complete a 8 hour overnight dwell before a PET test? ANSWERED Laurie Henri answered May 24, 2023
Is lasix can help with the PD clearance and removal of fluid ANSWERED Carmen Samonte answered April 27, 2023
Hello-If a patient is doing CAPD exchanges during the week and APD on the weekend, it there a way to collect and calculate KTV without having to do 2 collections, one on the day the patient does CAPD and one on the day the patient does APD? Thank you. ANSWERED Amy O answered April 27, 2023
Regarding the process of injecting medications into dialysate bags via the medication port; if using the betadine technique to disinfect the port, is it better to scrub the port with betadine and then allow to dry for 5 minutes OR place a drop of betadine on the port and allow to sit for 5 minutes? Is the drying of betadine important in disinfection of the port? ANSWERED Megan answered April 21, 2023
For catheter obstruction, Is there a protocol for Urokinase usage? ANSWERED Yael Einbinder answered April 11, 2023
Good Morning, when training patients our nursing team has always taught the learners to do a 20 second hand wash with antibacterial soap and water and drying with clean paper towel, before gathering supplies and proceeding with their capd exchange or setting up their cycler. During the exchange procedure and cycler set up we instruct the patients to reinforce the cleanliness of their hands by using sanitizer (after masking) before any sterile connection or disconnection moments. I spoke to a Nurse yesterday who was teaching a patient that if the patient thought her hands weren't soiled, she didn't need to wash with soap and water before gathering her supplies, but to just use sanitizer. My colleague's rational was that our hospital policy stated sanitizer is the superior choice over antibacterial soap and water for "unsoiled hands" and that as this is hospital policy, this should apply to PD patients as well. Is there a best practice guideline for performing PD exchanges that clarifies hand hygiene methods and procedure? ANSWERED Karen A. answered March 8, 2023
In order for the patient to start their PD therapy at home, it is requested that they have a safe area; however, the imprecision of the term has given rise to a great variety of criteria, where the remodeling of the space (walls, floors and furniture) has been requested. This situation sometimes delays the start of home therapy, because patients do not have the support or resources for such modifications and during that time intermittent dialysis is performed in the hospital, with the risks that this represents. So, is there any guide or evidence that specifies the minimum conditions to consider a safe space for home PD? ANSWERED Ana Miriam Cabrera Delgado answered February 13, 2023
Hello, is there a best practice guideline for dwell time for optimal fluid removal when using a 4.25% dianeal twin bag on a hypervolemic patient? Thank you, Karen Grant RN Ontario, Canada ANSWERED Karen Grant answered January 9, 2023
Hi, is it safe to do CAPD in a hotel room setting (carpets, curtains)? If unavoidable, what can i do to reduce the risk of peritonitis while doing CAPD in such a setting? I was told the pollutants/dust in the air will increase the risk of infection. Would proper technique + hand hygiene + a portal HEPA filter of some sort help? Thank you! ANSWERED Arthur W answered December 30, 2022
Is Peritoneal Dialysis done at home every night SAFE for Septic Tanks?? ANSWERED Patricia B answered December 21, 2022
I'm an educator at a providence hospital in Portland, Oregon and am looking for best practices/procedure for instilling alteplase in PD catheters for obstructions. From our own personal literature review, we've notice most of the literature is for the early 2000s. Does anyone have more current resources we can utilize to understand best practice for this intervention as we review our current process? Thanks! Allison Young MSN, RN, CMSRN ANSWERED allison young answered December 11, 2022
I would like to know how best to calculate a PD Kt/V when the patient is prescribed incremental therapy and not performing PD treatments 7 days a week. Most ESRD labs do not calculate this for us, but may consider helping us if we had a industry resource to share on how to accurately calculate this. ANSWERED Stacy C answered November 16, 2022
Is having a tracheostomy a contra indication for doing PD. any concerns regarding catheter infection etc ANSWERED Doreen Bett answered November 16, 2022
