An Outpatient Maneuver to Treat Bloody Effluent during Continuous Ambulatory Peritoneal Dialysis (CAPD)

Author:

Goodkin David A.1,Benning Mary G.1

Affiliation:

1. Houston Northwest Medical Center Dialysis Unit, Houston, Texas

Abstract

Asymptomatic episodes of grossly bloody effluent during continuous ambulatory peritoneal dialysis (CAPD) can be treated by following a simple therapeutic maneuver. The patient performs one to three rapid exchanges using unwarmed (room temperature), 1.5% dextrose containing dialysate. No dwell time is employed. This treatment proves successful in a variety of clinical settings, and no adverse effects have been noted. Infusion of unwarmed dialysate likely induces peritoneal vasoconstriction and thus favors hemostasis. Bleeding of nonperitoneal etiology, such as renal cyst hemorrhage or retrograde menstruation, proves resistant.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

Reference11 articles.

1. ZappacostaA.R., PerrasS.T. CAPD: Continuous Ambulatory Peritoneal Dialysis. Philadelphia: JB Lippincott: 1984: 128.

2. Bloody Effluent during CAPD in a Patient with Polycystic Kidneys

3. The Peritoneal Dialysis System

4. GraysonJ., MendelD. Physiology of the Splanchnic Circulation. Baltimore: Williams & Wilkins; 1965: 53–55.

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