| Interventions | Rationale |
| Have patient empty bladder before peritoneal catheter insertion if indwelling catheter not present. | An empty bladder is more distant from insertion site and reduces likelihood of being punctured during catheter insertion. |
| Anchor catheter/tubing with tape. Stress importance of patient avoiding pulling/pushing on catheter. Restrain hands if indicated. | Reduces risk of trauma by manipulation of the catheter. |
| Note presence of fecal material in dialysate effluent or strong urge to defecate, accompanied by severe, watery diarrhea. | Suggests bowel perforation with mixing of dialysate and bowel contents. |
| Note reports of intense urge to void, or large urine output following initiation of dialysis run. Test urine for sugar as indicated. | Suggests bladder perforation with dialysate leaking into bladder. Presence of glucose-containing dialysate in the bladder will elevate glucose level of urine. |
| Stop dialysis if there is evidence of bowel/bladder perforation, leaving peritoneal catheter in place. | Prompt action will prevent further injury. Immediate surgical repair may be required. Leaving catheter in place facilitates diagnosing/locating the perforation |
Nursing Diagnosis
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