Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 25


Answer

1)Peritoneal dialysis set

2)Indications
-Acute renal failure
-Chronic renal failure(maintenance prior to renal transplantation)
-Removal of dialysible poisons and drugs
-Metabolic abnormalities especially hyperkalaemia
-Temperature regulation in case of hypo or hyperthermia
-Peritoneal lavage (peritonitis)
-Refractory congestive heart failure and pulmonary edema.
-Detect intra peritoneal hemorrhage


3)Four complication
-Peritonitis
-Organ perforation (bladder, bowel, vessel)
-Blocked catheter
-Retain body fluid
-Postural hypotension
-Local skin excoriation and infection
-High protein loss
-Bowel obstruction
-Pain due to improper placing of catheter



4)Site of insertion is usually two cm below the umbilicus (safe site)