(1) closely observe the changes of the disease, including body temperature, pulse, respiration, blood pressure, urine volume, skin and limb color temperature, edema degree, etc., and make detailed observations and records.

(2) Give a low-salt and low-protein diet.

(3) Ward preparation:

(1) During the treatment, in order to prevent cross-infection and avoid complications, dialysis operation should be carried out in the treatment room as much as possible.

(2) Wipe the floor, table, chair and all articles, and irradiate them with ultraviolet rays for 2 ~ 3 times, each time for 0.5 ~ 1 hour.

(4) Articles preparation: sterile peritoneal dialysis inner tube, Y-shaped outer tube, copper wire, tunnel needle, abdominal belt, hemostatic forceps, appendix operation bag and cloth bag.

(5) drug preparation:

(1) All kinds of first-aid drugs.

② dialysate.

(3) heparin (heparin is first prepared into a solution containing 1ML heparin 1mg).

④ Antibiotics (ampicillin, gentamicin).

⑤ 50% glucose.

⑥ 1% ~ 2% procaine.

(2) Intraoperative nursing:

(1) Assist the doctor to set the position.

(2) Strictly carry out aseptic operation, connect the dialysis connecting tube, collect all kinds of test samples after opening the tube, and connect the special flushing tube for dialysate perfusion.

(3) Closely observe the changes of illness and pressing; Measure blood pressure and pulse: respiration and body temperature and record.

(3) postoperative care:

Prepare dialysate (1) according to the doctor's advice, infuse 1000mL each time, and then excrete it.

(2) The dialysate should be kept at 35 ~ 37℃.

(3) Before and during dialysate perfusion, the checking system must be strictly implemented, and the clarity and insurance period of dialysate should be carefully checked to ensure that dialysate is re-infused.

(4) Accurately record the inflow and outflow during dialysis, summarize 1 time within 24 hours, and observe the ultrafiltration volume and difference.

(5) Pay attention to wound bleeding. If the wound oozes blood, dressing should be changed in time, and pressure should be applied to stop bleeding if necessary.

(4) collecting peritoneal reflux:

Samples of peritoneal reflux were collected regularly to check potassium, sodium, chlorine, non-protein nitrogen, calcium, phosphorus and white blood cells. , and regularly cultivate bacteria and mold.

(5) Care for patients:

(1) Encourage patients to eat a diet with high protein, vitamins and calories to supplement protein lost in dialysis.

(2) keep warm. Give patients oral and skin care to prevent bedsores.

(3) Encourage patients to change their posture when discharging peritoneal dialysate, so as to enhance the filtering effect.

(4) Keep the respiratory tract unobstructed to prevent lung infection.

(5) During general dialysis, there is no need to strictly limit the intake of salt, protein and liquid.