7. 22-gauge angiocatheter or a femoral catheter with

guidewire

8. A temporary catheter such as a 14-gauge angiocatheter

or one of the commercially available temporary dialysis

catheters, (e.g., a Trocath [Trocath Peritoneal Dialysis

Center, Kendall McGaw Laboratories, Sabana Grande,

Puerto Rico])

9. Dialysis solution (1.5%, 2.5%, or 4.25%)

a. Other concentrations can be made by manual mixing of standard solutions

10. Heparin

11. Inline burette set

12. Ultra Set CAPD Disposable Disconnect Y-Set

13. MiniCap Extended Life PD Transfer Set with Twist

Cap

14. Medicap with povidone–iodine solution

15. FlexiCap Disconnect Cap with povidone–iodine solution

Nonsterile

1. Waterproof tape

2. Baby weigh scale with low resolution (e.g., Medela,

which has a resolution of 2 g from 0 to 6,000 g) (Fig.

53.2)

An alternative approach is to utilize a pediatric

cycler set. Experience in using this equipment is necessary. We recommend a commercially available cycler

that provides a minimum fill volume of 50 mL with

10-mL increments.

Chapter 53 ■ Peritoneal Dialysis 379

3. HomeChoice Automated PD System (Fig. 53.2) or any

other reliable fluid warmer

4. IV pole

D. Preprocedure Care

1. Obtain informed consent.

2. Check body weight and abdominal girth.

3. Check for infection at the insertion site.

4. Decompress the stomach.

5. Catheterize the bladder.

6. Place preweighed diaper under the patient.

Before assembly of system, wash hands and put on a

mask. All connections should be made using sterile

technique. Universal precautions should be observed

(Chapter 5). Keep all tubing clamped. See Fig. 53.3 for

connections.

7. Add 500 U of heparin to each 1 L of the dialysis solution. Start with 1.5% dialysate.

8. Warm a liter bag of dialysate (Dianeal or other), or a

larger bag if 1 L dialysate is not available, by resting it on

the heating surface of the HomeChoice Automated PD

System, or a reliable fluid warmer. The temperature can

be set between 35°C and 37°C. For a newborn, keep the

temperature at 37°C (in older pediatric patients, the

temperature is usually set to 36°C, and occasionally to

35°C if the environmental temperature is high).

9. Spike the inline burette set (Abbott Laboratories, North

Chicago, Illinois) into the dialysate (Dianeal or other)