One-time volume of the bay in children should be determined individually, in accordance with the age, height and weight of the child.
To avoid hyper or hypohydration, it is necessary to control body weight and balance of volumes of injected and withdrawn liquids.
Regular monitoring of physical parameters, concentrations of plasma electrolytes,creatinine and urea, plasma protein, blood glucose control, in some cases other laboratory parameters (eg blood gases, acid-base balance).
In diabetes, the daily dose of insulin should be adjusted in accordance with the increasing load of glucose. The choice of solutions for peritoneal dialysis, different in the concentration of glucose (dextrose) and calcium, should be carried out individually in each specific case.
In order to reduce the risk of infection, the replacement of the solution or the addition of other drugs in the solution should be carried out in strictly aseptic conditions. Because of the existing risk of incompatibility, other drugs may be added to the peritoneal solution only for the purpose of the attending physician (see "Interaction with Other Drugs"). In this case, the solution should be used immediately (without storage) after thorough mixing and checking for transparency.
It is necessary to pay attention to the transparency and appearance of the withdrawn solution. If the withdrawn solution is cloudy, dialysis should be stopped immediately and consulted by your doctor.
Visual inspection should be carried out before attaching the package and using the solution. Pay attention to the absence of damage to the package, even minor ones. Use the 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 discarded.
Solutions for peritoneal dialysis can not be administered intravenously.
With concomitant diabetes it is necessary to control the glucose concentration in accordance with the additional load.