Which of the following are vital signs monitoring considerations for a patient undergoing peritoneal dialysis? (Select all that apply)
Explanation & Rationale
A. Monitor respiratory rate for anomalies: Respiratory rate should be monitored because instilled dialysate can increase intra-abdominal pressure, impairing diaphragmatic movement and leading to breathing difficulties. B. Monitor blood pressure for fluctuations: Blood pressure must be assessed closely since fluid shifts during peritoneal dialysis can lead to hypotension or hypertension, reflecting fluid imbalance. C. Check pulse oximetry regularly: Pulse oximetry is important because decreased lung expansion from abdominal fluid can cause hypoxemia, especially in patients with preexisting respiratory compromise. D. Regularly check blood glucose levels: Blood glucose monitoring is primarily emphasized in diabetic patients, since glucose-containing dialysate can elevate levels, but it is not a standard vital signs parameter. E. Assess urine output for changes: Urine output may decline in end-stage renal disease patients, but it is not considered part of routine vital signs monitoring during dialysis treatment. F. Monitor daily weight for fluid retention: Daily weight is a critical measure of fluid balance, helping evaluate dialysis effectiveness and detect early signs of fluid overload or inadequate ultrafiltration. G. Observe skin color and temperature changes: Monitoring skin color and temperature helps identify early signs of infection, hypoperfusion, or sepsis, making this an important component of vital signs assessment.