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