I have a patient who has his pd catheter for over 1 year, but has not needed dialysis yet. The catheter was being flushed once every 2-3 weeks with 1000ml of Dianeal and after the flush heparin was instilled before capping off. The catheter functioned well until two months ago. Abdominal xray was done and the catheter migrated out of the pelvis. The catheter was surgically repositioned and it is work fine again. Is there a better way to maintain this catheter, the patient still doesnot need dialysis and not sure when dialysis will be started. The patient’s creatinine has been in the 3’s for over a year.

Questions About PD

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Liz,S, Nurse from New York asked
I have a patient who has his pd catheter for over 1 year, but has not needed dialysis yet. The catheter was being flushed once every 2-3 weeks with 1000ml of Dianeal and after the flush heparin was instilled before capping off. The catheter functioned well until two months ago. Abdominal xray was done and the catheter migrated out of the pelvis. The catheter was surgically repositioned and it is work fine again. Is there a better way to maintain this catheter, the patient still doesnot need dialysis and not sure when dialysis will be started. The patient’s creatinine has been in the 3’s for over a year.

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