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학습 자료 둘러보기 →The most critical finding in a patient on peritoneal dialysis is bright red blood in the dialysate, indicating active hemoperitoneum. This signifies rapid blood loss into the peritoneal cavity, which can quickly lead to hypovolemic shock.
Prioritize this over peritonitis (cloudy fluid, pain, fever) in the acute moment. While peritonitis is a serious infection, active hemorrhage poses an immediate threat to hemodynamic stability. Patients with ESRD are at higher risk for catastrophic events like hemorrhage.
Do not dismiss bright red blood as a minor issue. The peritoneal cavity can hold a large volume of blood. Immediately assess vital signs for signs of shock, clamp the catheter, and notify the provider for urgent surgical evaluation.
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