Absolute contraindications to Peritoneal Dialysis

What are the Absolute contraindications to Peritoneal Dialysis?

The definition of absolute contraindication is the presence of a clinical condition that makes a treatment either unsafe or unlikely to be effective.

There are few absolute contraindications for Peritoneal Dialysis.

Peritoneal Dialysis is contraindicated in patients with:

• Diaphragmatic defects (e.g., pleuroperitoneal abnormalities)

• Abdominal defects (e.g., unfixable hernia) or processes (e.g., acute diverticulitis) that prevent effective PD or increase the risk of infection

• Situations where the patient and/or caregiver are unable or unwilling to learn the therapy. As noted previously, assisted PD has provided a solution for the later problem.

What are the Relative contraindications to Peritoneal Dialysis?

Relative contraindications for Peritoneal Dialysis include

  • patients with severe malnutrition
  • multiple abdominal adhesions
  • ostomies
  • proteinuria >10 g/day
  • advanced COPD
  • ascites
  • presence of a Le Veen or ventriculo-peritoneal shunt
  • upper limb amputation with no help at home
  • poor hygiene
  • dementia
  • those who are homeless
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