Table of Contents
A Tenckhoff catheter is a catheter placed through the abdominal wall that provides access to the peritoneum. It is used to perform peritoneal dialysis.
Examining a Tenckhoff catheter
- General inspection
- Patient well/unwell
- In pain
- Signs of acute abdomen/peritonitis
- Tenckhoff catheter
- Signs of inflammation
- Brief abdominal exam to determine if any signs of peritonitis or areas of tenderness
- Skin around catheter
Viva questions about peritoneal dialysis
What are the different types?
– Continuous ambulatory peritoneal dialysis: patient replaces peritoneal dialysate manually with fluid bags 3-5 times daily (each exchange takes 30-40 minutes)
– Automated peritoneal dialysis: machine automatically replaces peritoneal dialysate overnight (over 8-10 hours)
What are the contraindications?
– Peritoneal adhesions
– Inflammatory bowel disease
What are the complications?
– Infection around catheter site
– Catheter malposition
– Fluid leaks
– Encapsulating peritoneal sclerosis
– Weight gain
What are the advantages?
– Can be done at home
– Dialysis fluid can be delivered to patient’s home
– Easier to travel/go on holiday
– Fewer restrictions on diet and fluid intake