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PROCEDURE FOR TENCKHOFF CATHETER TUBING CHANGES
PURPOSE: To provide directions for change of the peritoneal catheter transfers set.
KEY POINT: The PD transfer tubing is changed only if the tubing is
cracked, leaking or contaminated. Notify physician of problem and establish need for
antibiotics.
SUPPORTIVE DATA:
Peritonitis is the primary complication of peritoneal dialysis.
Meticulous care of the Tenckhoff catheter is necessary to reduce the introduction of
contaminants into the peritoneal cavity.
EQUIPMENT:
- Peritoneal Dialysis Set change tray (Abbott #4185)
- Minicap Extended Life PD Transfer Set with twist cap (Baxter 5c44)
NURSING ACTION:
PROCEDURE STEPS:
- Gather supplies.
- Open PD Dialysis Set change tray.
- Arrange drape over lap to protect clothing.
- Pour Providine Iodine solution into sterile basin.
- Place Titanium adaptor into solution and soak for 15 minutes.
- When soak is completed, turn off room air, heater, and close the door.
- Place mask on self, patient and anyone else in room.
- Apply clamp (from tray) on Tenckhoff catheter (between patient and adaptor).
Open Baxter
transfer set.
- Don sterile gloves.
- Using gauze pads grasp the Tenckhoff catheter in one hand, and transfer set in the
other and disconnect the two.
- Discard the transfer set.
- Apply new transfer tubing, connecting white port to the titanium adapter with a twisting
motion to secure.
- Maintain sterility of the titanium adaptor at all times. If the adaptor becomes
contaminated, repeat Providine Iodine soak and notify physician.
- Document tubing change on PD flow sheet.
REFERENCES:
Abbott Peritoneal Dialysis Systems, 1993, Cincinnati, Ohio.
"Key Concepts in Renal Management", ANNA 20 (3), 1993, Pitman, New Jersey.
Peritoneal Dialysis Techniques (1993), Baxter, New York, New York.
RESOURCE PERSONS:
Cathy Brothers, RN
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