Which type of dialysis allows the patient to be ambulatory

You do the exchanges during the day by hand. Automated peritoneal dialysis. A machine does the exchanges while you sleep.

Surgery to put in your catheter Before your first treatment, you will have surgery to place a catheter into your belly. Dialysis training After training, most people can perform both types of peritoneal dialysis on their own. A dialysis nurse will make sure you know how to perform your dialysis. Use a transfer set to connect your catheter to the dialysis solution A transfer set is tubing that you use to connect your catheter to the bag of dialysis solution.

You connect your catheter to the transfer set to do your exchange. Use dialysis solution as prescribed Dialysis solution comes in 1. Doing an exchange by hand After you wash your hands and put on your surgical mask, drain the used dialysis solution from your belly into the drain bag.

Near the end of the drain, you may feel a mild tugging sensation that tells you most of the fluid is gone. Close the transfer set. Warm each bag of solution to body temperature before use.

You can use an electric blanket, or let the bag sit in a tub of warm water. Most solution bags come in a protective outer wrapper, and you can warm them in a microwave. Hang the new bag of solution on a pole and connect it to the tubing. Remove air from the tubes—allow a small amount of fresh, warm solution to flow directly from the new bag of solution into the drain bag.

Clamp the tube that goes to the drain bag. Open or reconnect the transfer set, and refill your belly with fresh dialysis solution from the hanging bag. Using a cycler for automated peritoneal dialysis exchanges In automated peritoneal dialysis, you use a machine called a cycler to fill and drain your belly. Automated peritoneal dialysis uses a machine called a cycler to fill and empty your belly three to five times during the night while you sleep. At the times you set, the cycler releases a clamp and allows used solution to drain out of your belly into the drain line warms the fresh dialysis solution before it enters your body releases a clamp to allow body-temperature solution to flow into your belly A fluid meter in the cycler measures and records how much solution the cycler removes.

Daily routine Your schedule will change as you work your dialysis exchanges into your routine. Physical activity You may need to limit some physical activities when your belly is full of dialysis solution.

Your dietitian will help you determine how much liquid you need to consume each day. Medicines Your doctor may make changes to the medicines you take. Coping Adjusting to the effects of kidney failure and the time you spend on dialysis can be hard for both you and your family. You may have less energy need to give up some activities and duties at work or at home A counselor or social worker can answer your questions and help you cope.

Take care of your exit site, supplies, and catheter to prevent infections Your health care team will show you how to keep your catheter clean to prevent infections. Here are some general rules: Store your supplies in a cool, clean, dry place. Inspect each bag of solution for signs of contamination, such as cloudiness, before you use it.

Find a clean, dry, well-lit space to perform your exchanges. Wash your hands every time you need to handle your catheter. Clean your skin where your catheter enters your body every day, as instructed by your health care team. Wear a surgical mask when performing exchanges. Wash your hands before you handle your catheter. Taking your medications as prescribed also is important for getting the best possible results.

While receiving peritoneal dialysis, you'll likely need various medications to control your blood pressure, stimulate production of red blood cells, control the levels of certain nutrients in your blood and prevent the buildup of phosphorus in your blood. Mayo Clinic does not endorse companies or products.

Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Peritoneal dialysis Open pop-up dialog box Close. Peritoneal dialysis During peritoneal dialysis, a cleansing fluid dialysate is circulated through a tube catheter inside part of your abdominal cavity peritoneal cavity.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references AskMayoExpert. Peritoneal dialysis. Rochester, Minn. Feehally J, et al. In: Comprehensive Clinical Nephrology. Edinburgh, U. Accessed Feb. This machine is known as an artificial kidney or dialyzer.

The machine filters the blood through a membrane. The waste products in the blood pass through the membrane and are washed away using a fluid called dialysate.

The waste products are discarded and the cleansed blood is then returned to the body. Patients getting hemodialysis usually need treatments three times a week. Each treatment takes around four hours. While this may be inconvenient, many patients with low kidney function benefit from hemodialysis.

Home hemodialysis is also an option for some patients. Peritoneal dialysis is another type of dialysis that removes waste products from the blood when your kidneys are not functioning properly. The biggest difference in hemodialysis vs peritoneal dialysis is that hemodialysis requires an artificial kidney machine to filter blood while peritoneal dialysis does not. Rather than using a machine, peritoneal dialysis uses the lining on the inside of the belly as a natural filter for blood.

During peritoneal dialysis, the dialysate flows through a catheter into part of the abdomen. Data collection and analysis: Two reviewers independently assess the methodological quality of studies. Data was abstracted from included studies onto a standard form by one reviewer and checked by another. Main results: One trial, reported in abstract form only, was located in the most recent search.