Nursing Care for Patients with End Stage Renal Disease (ESRD) having Peritonitis Form Continuous Ambulatory Peritoneal Dialysis (CAPD): A case study 2case

Abstract

            End-Stage Renal Disease (ESRD) is cause of abnormal structure or loss of kidney function for long periods  or more than 3 months. As, the kidneys can not get rid of waste products in the body requiring renal replacement therapy, Continuous Ambulatory Peritoneal Dialysis : CAPD  is remedy treatment for patients can change the solution at home without expensive equipment ,however the common complication  is patients suffering from abdominal infection and it decline the efficiency of dialysis so Patients need to be admitted often in the hospital which increased cost and cause of death. Nurses have to correct  knowledge medical treatment and  nursing care for patients safety from peritoneal infection  and reducing mortality rate, therefore the comparing study in 2 cases of  End-Stage Renal Disease (End Stage Renal Disease: ESRD) with peritoneal dialysis infection a different treatment.

            Case study :  2 cases of ESRD patients with fever, abdominal pain, fluid CAPD opaque infection are treated in the hospital by receiving antibiotic and the CAPD ,however one of case stop CAPD treatment instead of hemodialysis and plan to be received CAPD treatment again about 1-1 / 2 months After improving from infection. 2 cases receiving holistic care by using Gordon health assessment and systemic health nursing. Nursing diagnoses led to the problems and needs of the patient individual. The patient's symptoms improved  by the CAPD treatment and  Antibiotic mix in CAPD solution. Patients follow-up for treatment  in 2 weeks one of cases received  hemodialysis  treatment every Monday and Thursday.

            Results : Patients with infection of peritonitis who received peritoneal dialysis accurately to reduce mortality rate. Nurses must be knowledgeable medication and side effects to be assessment signs and symptoms of infection including modify medical treatment plan for provide temporary peritoneal dialysis at home.