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You have a patient that is receiving peritoneal dialysis. What should you do when you notice the return fluid is slowly draining?

A. Check for kinks in the outflow tubing
B. Raise the drainage bag above the level of the abdomen
C. Place the patient in a reverse Trendelenburg position
D. Ask the patient to cough

User Magnetik
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Final answer:

When the peritoneal dialysis return fluid drains slowly, the immediate action is to check for kinks in the outflow tubing to ensure a clear pathway for the fluid.

Step-by-step explanation:

When you notice that the return fluid from peritoneal dialysis is draining slowly, the first step should be to check for kinks in the outflow tubing as they may obstruct the flow of the dialysis solution. If there are no kinks present, other potential steps might include repositioning the patient or adjusting the equipment, but first you must ensure that the pathway for the fluid is clear. It is also important to assess the patient's comfort and ensure they feel no additional pain or discomfort during this process.

If a patient undergoing peritoneal dialysis experiences slow drainage of return fluid, several steps should be taken promptly. First, ensure the patient is in a comfortable position and encourage deep breathing to promote relaxation, as tension may affect the peritoneal fluid flow. Check for any potential obstructions in the catheter tubing and ensure that the drainage bag is positioned lower than the patient's abdomen to facilitate gravity drainage.

If slow drainage persists, the patient may be repositioned or asked to change positions to encourage fluid movement. Gently massaging the abdomen can also aid in facilitating drainage.

If these measures prove ineffective, it is crucial to contact the healthcare provider immediately for further guidance and evaluation.

Slow drainage may indicate complications such as catheter malfunction, peritonitis, or other issues that require prompt attention to prevent adverse outcomes in the patient's peritoneal dialysis treatment. Regular monitoring and communication with healthcare professionals are essential for optimizing the effectiveness and safety of peritoneal dialysis.

User Atequer Rahman
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