So, to follow up on my last post:
healthunlocked.com/nkf-dial...
Today was my second visit to the dialysis clinic for a dressing change which basically followed the exact procedure listed above with just a few additional tweaks, and this week the PD nurse did a "flush" of my PD catheter.
In addition to all the sanitary procedure steps outlined in week two, the PD nurse was going to use an iv bag type pole to hold the PD solution for the flush, so she used a cleaning solution (KidneyCoach said the name is Alcavis) to wash down the entire bag stand except for the bottom where the wheels attach. This cleaning liquid isn't as powerful as the ExCept that was used to clean my skin. The cleaning with Alcavis included the little adaptor that was about 2/3rds down the pole where the tube from the dialysis bag connects to the tube leading into my stomach and out to the drain bag. Think of it as a three way valve type thing with inlet for the PD solution, outlet to my tummy, and outlet to the drain bag. A valve that she turns directs the flow. So all of that had to be cleaned before use.
In addition to containing the valve to directly the fluid flow, the connection device has "ports" where each tube connects. The nurse took new "tips" out of sealed packages and inserted (using gauze moistened with the same sterilizing liquid (ExCept) that she used on my stomach around the tube before replacing the dressing to hold it with ad cover the end with until it was time to hook my catheter tube to it. She first connected the 2 liter bag of solution and hung it on the pole. Then connected the tube from the bag to one of those sterile connectors with the valve in the "off" position. Then she hooked up the drain bag to another connector, then last she quickly took off the sterile gause from the port where my catheter connects, and connected my catheter to that new sterile "tip" that was already in the valve port. Then she proceeded to turn the valve, allowing 500ml of solution to enter my peritoneal cavity. The fluid had been pre-warmed. I was very much surprised that I didn't feel a thing until it was almost all in and then just felt a little "fullness" for lack of a better term. I had been very afraid that having that warm fluid go in would cause me to pee myself or something from the pressure, but alas, my fears were unfounded in this event.
The fluid had only been in for a few minutes when she began to drain it. It is very difficult to describe the sensation that gave. Like a "fluttering"? It wasn't what I would call painful. I've had gas pains that have been a LOT worse than that experience. And she was very talkative through the entire process which actually helped me keep my mind off the draining. So after just a few minutes, she said, Ok, we're going to do that again with another 500 ml. I said, you mean that was it? I was surprised that it was over already. Was it a tiny bit uncomfortable during the drain. Yes, but just a little and it was a breeze compared to having that Foley catheter put in in the ER after my surgery! Oh my gosh. I would compare it more to light gas discomfort and only lasted for a minute or so. So then she proceeded to fill me again with another 500ml, and drain, and then fill me with a third 500 ml and drain. And that was the end of that!
Once the final drain was done, she removed my catheter connector from the port in the valve, wrapped it around into about a 4 inch circle over my incision and taped it to me. And that was the end of that. She said that I would "officially" become a dialysis patient next week once I start training, that these first two weeks were done "gratis" by the dialysis center, before I actually became a patient. So next week I need to come prepared to fill out a TON of paperwork!