Peritoneal Dialysis: Technique, Complications, and Patient Teaching – Lesson 1

Peritoneal Dialysis Complications within the Renal & GU domain require careful clinical judgment that integrates assessment data with patient risk to determine the first safe nursing action. Nurses must be vigilant in recognizing signs of complications and understand when to delegate tasks versus when to retain responsibility for critical decision-making. It is important to anticipate incorrect options that may appear reasonable but could delay necessary assessments, overlook unstable clients, or inappropriately delegate responsibilities that require RN-level judgment. Effective management involves linking expected assessment findings to appropriate interventions and ongoing monitoring to confirm the effectiveness of the care plan. When responding to complications, prioritize immediate patient safety, conduct focused assessments, and escalate care based on evidence-based guidelines, particularly within Pediatric Fluid and Electrolyte Management.