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Abstract
Case description: Case of pneumoperitoneum in a patient on automatic peritoneal dialysis with a dry day. While pneumoperitoneum is not a serious complication may alter the quality of life of the patient, so it is necessary to determine its origin. After reviewing the existing bibliography, we found a case report of pneumoperitoneum on automatic peritoneal dialysis therapy. In addition, other cases with this complication in patients with continuous ambulatory peritoneal dialysis have been reported, all of them because of errors in the technique. After the nursing assessment, the patient identified some errors in the technique as the possible causes of this complication.
Description of the care plan: The care plan focused on ruling out other complications of peritoneal dialysis such as catheter obstruction or peritonitis, evaluating possible errors in the technique made by the patient,
proceeding with their retraining, and offering emotional support to the patient and the family. The evaluation of the care plan at one week and one month was favorable.
Conclusions: It should be emphasized the importance of personalized training depending on the type of therapy prescribed and the potential complications, so that the patient knows them and can prevent their appearance.
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References
- Paniagua Sierra JR, Ventura García MJ, Vázquez Hernández R. Aumento de la presión intraabdominal y otras complicaciones. En Montenegro Martínez J, Correa Rotter R, Riella MC. Tratado de diálisis peritoneal. Barcelona: 2ª edición; 2015.
- Imran M, Bhat R, Anijeet H. Pneumoperitoneum in peritoneal diálisis patients; one centre´s experiencie. NDT Plus. 2011;4(2):120-3.
- Saunders RN, Veitch PS, Nicholson ML. Pneumoperitoneum in CAPD peritonitis. J R Soc Med. 2004;97(1):28-9. DOI: https://doi.org/10.1177/014107680409700109
- Chen YC. Peritoneal dialysis-related peritonitis with Klebsiella pneumoperitoneum mimicking viscus perforation. Perit Dial Int. 2012;32(5):575-7. DOI: https://doi.org/10.3747/pdi.011.00304
- Durán-Muñoz MI, Martín-Santiago C, de la Cierva-Medina P, Lope-Andrea T y Martín-Acero T. Neumoperitoneo en pacientes con tratamiento renal sustitutivo con diálisis peritoneal continua ambulatoria. Enferm Nefrol. 2013;16(3):196-8. DOI: https://doi.org/10.4321/S2254-28842013000300009
- Pérez Díaz V, Oviedo Gómez V, Fernández Carbajo B, Fernández Arroyo L, Martín Alcón B. Long-term pneumoperitoneum in continuous ambulatory peritoneal dialysis (CAPD) caused by handling fault of Stay.Safe® system associated to bicaVera solution. NDT Plus. 2011;4(3):195-7.
- Chen WL, Tsao YT. Blunt abdominal trauma: a hidden culprit. NDT Plus. 2009;2(2):171-2.
- Albalate M, Alcázar R, Ortiz A, Reyero A, M, Casado S, Caramelo C. Acute Pneumoperitoneum in a Patient on Nocturnal Intermittent Peritoneal Dialysis. Nephron. 1996;72:358. DOI: https://doi.org/10.1159/000188886
- Herramienta online para la consulta y diseño de Planes de Cuidados de Enfermería. [Internet]. NNNConsult. Elsevier; 2015 [consultado 3 marzo 2020]. Disponible en: https://www.nnnconsult.com.
References
Paniagua Sierra JR, Ventura García MJ, Vázquez Hernández R. Aumento de la presión intraabdominal y otras complicaciones. En Montenegro Martínez J, Correa Rotter R, Riella MC. Tratado de diálisis peritoneal. Barcelona: 2ª edición; 2015.
Imran M, Bhat R, Anijeet H. Pneumoperitoneum in peritoneal diálisis patients; one centre´s experiencie. NDT Plus. 2011;4(2):120-3.
Saunders RN, Veitch PS, Nicholson ML. Pneumoperitoneum in CAPD peritonitis. J R Soc Med. 2004;97(1):28-9. DOI: https://doi.org/10.1177/014107680409700109
Chen YC. Peritoneal dialysis-related peritonitis with Klebsiella pneumoperitoneum mimicking viscus perforation. Perit Dial Int. 2012;32(5):575-7. DOI: https://doi.org/10.3747/pdi.011.00304
Durán-Muñoz MI, Martín-Santiago C, de la Cierva-Medina P, Lope-Andrea T y Martín-Acero T. Neumoperitoneo en pacientes con tratamiento renal sustitutivo con diálisis peritoneal continua ambulatoria. Enferm Nefrol. 2013;16(3):196-8. DOI: https://doi.org/10.4321/S2254-28842013000300009
Pérez Díaz V, Oviedo Gómez V, Fernández Carbajo B, Fernández Arroyo L, Martín Alcón B. Long-term pneumoperitoneum in continuous ambulatory peritoneal dialysis (CAPD) caused by handling fault of Stay.Safe® system associated to bicaVera solution. NDT Plus. 2011;4(3):195-7.
Chen WL, Tsao YT. Blunt abdominal trauma: a hidden culprit. NDT Plus. 2009;2(2):171-2.
Albalate M, Alcázar R, Ortiz A, Reyero A, M, Casado S, Caramelo C. Acute Pneumoperitoneum in a Patient on Nocturnal Intermittent Peritoneal Dialysis. Nephron. 1996;72:358. DOI: https://doi.org/10.1159/000188886
Herramienta online para la consulta y diseño de Planes de Cuidados de Enfermería. [Internet]. NNNConsult. Elsevier; 2015 [consultado 3 marzo 2020]. Disponible en: https://www.nnnconsult.com.