During instillation and dwell time of peritoneal dialysis, what are clients closely monitored for?

During instillation and dwell time of peritoneal dialysis, what are clients closely monitored for?

• A. Respiratory distress from infusing too quickly, overfilling the abdomen, or fluid entering the thoracic cavity
• B. Hypertension and dizziness
• C. Nausea and vomiting
• D. Headache and fever

Answer: (B)

During the fill and dwell phases of peritoneal dialysis, the abdomen is filled with dialysis fluid, which can cause significant shifts in fluid and pressure. The most important changes to monitor are those related to circulation and perfusion. If the dialysate is infused too quickly or too much fluid remains, intraperitoneal volume expansion can increase venous return and raise systemic blood pressure. The patient may also feel lightheaded or dizzy as these volume and osmotic shifts affect cerebral perfusion. Therefore, closely watching blood pressure and symptoms like dizziness best reflects the immediate hemodynamic effects during instillation and dwell, allowing quick adjustments to the infusion rate or dwell time if needed.

During the fill and dwell phases of peritoneal dialysis, the abdomen is filled with dialysis fluid, which can cause significant shifts in fluid and pressure. The most important changes to monitor are those related to circulation and perfusion. If the dialysate is infused too quickly or too much fluid remains, intraperitoneal volume expansion can increase venous return and raise systemic blood pressure. The patient may also feel lightheaded or dizzy as these volume and osmotic shifts affect cerebral perfusion. Therefore, closely watching blood pressure and symptoms like dizziness best reflects the immediate hemodynamic effects during instillation and dwell, allowing quick adjustments to the infusion rate or dwell time if needed.