What is your preferred fill volume, dialysis solution, and dwell time for patients with suspected peritoneal dialysis associated peritonitis who arrive to the hospital with a dry abdomen?

I agree with Dr. @Dr. First Last's approach with one addition: prior to instilling the fluid for 2 hours, I would do a quick flush of the abdomen- fill and drain immediately- to remove the cells that accumulated while the abdomen was dry, and thereby avoid "muddying" the waters (pun intended).

When collecting peritoneal dialysis effluent for WBC/diff and culture in a patient with a "dry" peritoneum, a minimum of 1L of dextrose solution should be infused, dwelled for 2 hours, and then drained for inspection and laboratory testing.

In larger patients who use 2L or more per fill, I prefer us...