CAPD

CAPD – the body uses a different filtering system

It is called the PERITONEUM

  •  thin stretchy sac acts like a bag holding the stomach, intestines, liver and other organs in place
  • Allows small substances to pass through – just like a sieve

Waste products are sieved from the
blood into the dialysis fluid.

Peritoneum also allows fluid to pass through.
Fluid is sucked through the sieve into the dialysis fluid. More glucose or sugar in dialysis fluid, more fluid can be sucked across the peritoneum and
away from the body

Using different bag strengths
The quantity of glucose in the bags is expressed as a percentage

Diagrammatic representation of resistance to solute passage from peritoneal capillaries to dialysate

CAN CAPD BE RECOMMENDED OVER  H.D  FOR  DIABETIC ESRD
ADVANTAGE OF CAPD

  • MAINTENANCE OF RESIDUAL FUNCTION
  • INTRA PERITONEAL INSULIN
  • SLOW CONTINUOUS USEFUL IN HAEMODYNAMICALLY UNSTABLE     

How do I know that CAPD is working for me?

  • Everyone responds differently to dialysis
  • You need blood test to see how well CAPD is working for you
  • You need regular blood test so that your doctor will tell you if you need more dialysis. More dialysis means more volume or more bags exchanges.

The Exchange Procedure


Prepare work area for bag exchange

Clean Environment

Mask 7 Wash hands

Inspect Bag

Remove transfer set form clothing – make sure it is closed

Place blue clamp on fill line

Break green frangible

Right hand hold patient connection end, Left hand hold transfer set

Remove pull-ring off solution bag

Remove mini-cap from transfer set

Connect transfer set to twin bag

HANG NEW BAG SOLUTION

PLACE DRAIN BAG BELOW LEVEL OF ABDOMEN

OPEN TWIST CLAMP

WHEN DRAIN IS COMPLETE – CLOSE TWIST CLAMP

Flush Phase – remove clamp on fill line ( Count 5 slowly)

Clamp drain line

Fill  Phase – open twist clamp

When infusion complete –  CLOSE TWIST CLAMP & CLAMP FILL LINE

Open disconnect cap package – check sponge in cap for wetness

Disconnect twin-bag from transfer set

Cap off

Inspect fluid drained