11/14/2022 0 Comments Uf endnote![]() ![]() ![]() ![]() If the damage is major, the person may need to stop PD. Membrane dysfunction of this type is more difficult to treat and has many implications for the individual. This problem can be identified through another change of the PET. If membrane dysfunction gets worse over time, then this is associated with progressive damage, scarring and thickening of the membrane. A less common problem happens when the membrane fails to work properly (also called membrane dysfunction) because the peritoneal membrane is less efficient, either at the start of treatment or developing after some years. Since more efficient fluid removal is associated with better outcomes, developing a personal PD prescription based on the person’s PSTR is critically important. This is referred to as a fast peritoneal solute transfer rate (PSTR). This happens when toxins (poisons) in the blood cross the membrane more quickly than they should. The most common problem with the peritoneal membrane occurs when fluid is not removed as well as it should be. This may be used to change the dialysis prescription to achieve the best outcomes. If there are changes between assessments causing problems, the PET data may explain the cause of the dysfunction. Later on in treatment, the PET helps to monitor changes in peritoneal function. The goal is to understand how well the peritoneal membrane works at the start of dialysis. This tool is used to measure the peritoneal function soon after the start of dialysis. It is a simple, standardized and reproducible tool. A key tool for these assessments is the peritoneal equilibration test (PET). This is needed to achieve the best dialysis outcomes. Changes in the membrane may require changes to the dialysis prescription. This means more assessments (evaluations) will be needed to determine whether the person’s peritoneal membrane has changed. Sometimes dialysis treatment itself can cause the membrane to change after some years. The kidney care team wants to provide each person with the best dialysis prescription for them and to do this they must evaluate the person’s peritoneal lining. What is normal for one person’s membrane may be very different from another person’s. The lining is used as a filter to help remove extra fluid and poisonous waste from the blood. The peritoneal membrane is a thin layer of tissue that lines the abdomen. Peritoneal dialysis (PD) uses the peritoneal membrane for dialysis. ![]()
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