Preoperative and Postoperative PD Catheter
Insertion Patient Instructions
It is essential to establish appropriate communication between the surgeon and the nephrology/dialysis clinic during preparation and follow-up to PD catheter placement.
A variety of procedures exist for catheter insertion. Your patient should always consult your individual healthcare practitioner for his or her specific recommendations.
The instructions below may offer your patients guidance during the process of planning, PD catheter placement, and follow-up with their healthcare team in order to assure both patient education and successful outcomes during initial access placement.
Before Surgery
The catheter placement procedure will be thoroughly explained. Marking of the catheter site (determination of the optimal location, i.e., away from the belt line, within easy reach and sight, right or left side) may be completed at this time. Questions and concerns will be addressed.
Shower with a disinfectant soap, as directed:
Do not eat or drink after:
Bowel preparation (if required):
Alert the surgeon/doctor of any known hernias:
Medications:
Take:
Do not take (hold):
Adjust dosage:
Antibiotics:
Report any unusual cough, fever, chills, or ill feelings prior to surgery
Date of catheter placement:
Report to (location):
Please notify the dialysis clinic when your catheter surgery has been scheduled.
Additional instructions/notes:
After Surgery
- Report any of the following to your surgeon/doctor:
-
- Bleeding
- Fever
- Vomiting
- Severe cough
- Severe pain
- Wet or dirty/soiled dressing
- Dressing falls off
Emergency Contact:
- The surgical dressing SHOULD BE LEFT IN PLACE FOR AT LEAST 7 DAYS
- The dressing should only be changed by your doctor or nurse at the dialysis clinic
- Do not shower or bathe until advised by the dialysis clinic that the exit-site is healed
- Avoid heavy lifting, stair climbing, straining, and constipation. Your activities for the next few weeks should be light
- Resume all routine medications and diet as instructed by your doctor
- Talk with the surgeon about the need for pain medication
- If antibiotics are ordered, take as directed until they are gone
- Call your dialysis clinic to schedule your follow-up appointment