A single volume of dialysate administered in children should be calculated according to body weight.
In order to prevent dehydration or hyperhydration, it is necessary to constantly monitor the ratio of fluid and body weight of the patient.
Regular monitoring of physical parameters, concentrations of electrolytes, creatinine and urea, total plasma protein, blood glucose, and in some cases other laboratory parameters (for example, blood gases, acid-base state) is mandatory.
In patients with diabetes need to control the concentration of blood glucose and if necessary to correct daily dose of insulin, in accordance with increasing load of glucose.
The choice of solutions for peritoneal dialysis, different in the concentration of glucose and Ca2+, should be carried out individually in each specific case.
To reduce the risk of infection, aseptic conditions should be maintained during the replacement of the solution. It is necessary to pay attention to the transparency and appearance of the withdrawn solution. If the withdrawn solution is cloudy, dialysis should be stopped immediately and consulted by your doctor. You should pay
attention to the absence of damage to the package, even minor ones. Use a solution for peritoneal dialysis only if the package is not damaged.
, Never use packages with opaque content.
All unused portions of the solution should be destroyed.
Solutions for peritoneal dialysis can not be used intravenously.
Due to the existing risk of incompatibility and microbial contamination, other medicines can be added to the peritoneal solution only for the purpose of the attending physician.In this case, the solution should be used immediately (without storage) after thorough mixing and checking for transparency.