Continuous Ambulatory Peritoneal Dialysis (CAPD)
CAPD is performed manually. It can be done almost anywhere. CAPD stands for:
How does a CAPD exchange work?
An exchange of dialysis fluid in CAPD is simple. You will be able to do it yourself once you have been trained by a specialized PD nurse. This training usually takes place at the renal center and the duration will depend on the hospital you are with.
An exchange takes about 30 minutes. Most CAPD patients need to do between three and five exchanges a day.
Automated peritoneal dialysis (APD)
Automated peritoneal dialysis (APD) is peritoneal dialysis using a small machine. It is done at night while you are sleeping.
The APD machine automatically controls the timing of exchanges, drains the used solution, and fills the peritoneal cavity with new solution. Patients need to keep fluid in their peritoneal cavity during the day. Some need to perform an additional exchange during the day to ensure they receive sufficient dialysis.
How does APD work?
At the renal_center, a training nurse will teach you to perform your CAPD or APD treatment safely. At home, most patients or their caregivers, do the treatments. Patients return to the renal center for regular check-ups.
Patients on either kind of peritoneal dialysis are relatively independent and can manage their own care at home. Continuous dialysis means dialysis is usually happening 24 hours a day and 7 days a week, with no days off. This means that the dialysis is effective, provides good control of blood pressure, and offers more choices of diet and fluid intake than Haemodialysis. PD patients are usually comfortable and pain free. Most adults hold 2 to 3 liters of fluid in their abdomen without being aware of it. No needles are used for PD. Although PD patients do not have to travel to the renal center for treatment sessions, it is important to maintain the dialysis schedule of 3-5 exchanges each day prescribed by your doctor.
Travel for business or pleasure can be arranged easily with a little planning.
PD requires the insertion of a permanent catheter, which poses some risk of infection.
Storage space is needed at home for PD supplies. The bags of dialysis fluid come in boxes of different quantities depending on your type of PD requirements, so a month's supply can be as many as 30 boxes. These must be stored in a clean, dry area.