On Friday, I was in a hurry to get unhooked from PD because we were running late and I had to get my kids to the stop in time for school.
When you get unhooked from pd, you have to close the catheter that is in your body and then close the clamp on your machine tube that connects to you. I closed the machine tube and unhooked. I did not close the catheter! Fluid sprayed everywhere (at the end of dialysis my stomach fills with 200 mls for comfort so the catheter has padding in my body) and I closed it right away! I then got my children ready for school and sent. While I did this my husband called the dialysis unit to inform them and make sure it was okay that it happened.
From my training I knew it probably wasn’t. The catheter opening had been contaminated by air. Sure enough, I was correct and I was informed I had to get into the dialysis unit for antibiotics. Once in the unit, they drained the fluid that was left in me. Added fluid from a twin bag (a small bag of fluid that is similar to those I place on my dialysis machine) to my drain bag and then injected 2 antibiotics into the bag that was going into me on the twin bag. (the twin bag is called a twin bag because there is 2 bags, one with fluid and one is a drain bag.) Once the fluid and meds were in my body, I had to sit for 15 mins. I have an allergy to penicillin and these meds were for those that were allergic but still could cause a reaction. I received a drain bag, masks and isogel in case there was an issue on the way home. I had to drain right away and get to a hospital. (nothing ended up happening but at least we were prepared for it!) This fluid had to sit in my stomach a minimum of 6 hours before being drained on my dialysis machine.
The nurse doesn’t believe there will be a problem but we took care of it just in case. For the next week I just have to make sure I do not get pain or run a fever. I believe I will be fine. This is how a simple mistake could be a bad one. Hopefully I never make it again! I feel very foolish that I made this one mistake, but I figure since it is my first one and I just got the machine in July, I am doing pretty good!