8. If you elect to use a 14-gauge angiocatheter

a. Insert the angiocatheter at the insertion site.

b. Remove the stylet.

c. Infuse approximately 20 mL of normal saline to

confirm a free flow. Clamp.

d. Proceed to step 10.

9. If using a soft and flexible temporary catheter, such as a

Cook catheter (Cook Critical Care, Bloomington,

Indiana), follow the manufacturer’s instructions. Then

proceed to step 10.

10. Test patency.

a. Temporary catheter

(1) Unclamp. May observe flow of a few drops of

saline. Connect the free end of the transfer set

to the catheter.

(2) Allow approximately 30 mL of dialysis solution

to enter peritoneal cavity by gravity.

(3) Clamp the short arm of the Y-Set (inflow).

(4) Unclamp the long arm of the Y-Set (outflow).

(5) Repeat steps a(2) through a(4) several times.

(6) Secure the temporary catheter with a pursestring suture and tape if inflow and outflow

occur readily.

Fig. 53.3. An assembled peritoneal dialysis circuit illustrates an

IV pole (A) and an inline burette (C) that is connected to an Ultra

Set CAPD Y-Set (D). The short limb of this Y-Set is connected to

the transfer set (E), which is connected to a Tenckhoff catheter

exiting from the abdominal cavity of a doll, and the long limb has

a bag at the end (located on the floor).