What is the stepwise approach you recommend to treat instillation pain experienced by your peritoneal dialysis patients?
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What is your first-line intervention for persistent inflow pain in a patient new to peritoneal dialysis once bleeding, peritonitis, and constipation have been excluded?
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2 Answers
Mednet MemberInvited Expert
Nephrology · University Of Alabama
Answered on
In patients new on peritoneal dialysis, pain with treatment can occur in two situations.
Inflow pain during instillation of PD fluid, and drain pain or outflow pain at the end of each cycle, especially with cycler-based PD or APD.
Inflow pain is attributed to the acidic pH of conventional lactate-buff...
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Mednet MemberInvited Expert
Nephrology · Stanford University
Answered on · Updated on
A simple way to approach instillation pain, or inflow pain, in peritoneal dialysis is to group the problem by timing: early, occurring within a few weeks of catheter placement, or late, occurring more than 1 month after catheter placement.
Common causes of inflow pain in the early period include:
- In...
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