View source for CKD-CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)

===== [[Summary Article|'''SUMMARY''']] =====
1. Close attention to nutritional status-a high-protein intake is necessary. 
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<br/>2. Fluid shifts are more gradual, so CAPD causes less strain on the heart.
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<br/>3. The patient infuses 2-3 L of hypertonic dextrose solution into the peritoneal cavity (subsequently drained by gravity) 4-6/day. Many patients receive their PD exchanges at night using an automated cycler (called continuous cycler peritoneal dialysis, CCPD).
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<br/>4. Main complication is peritonitis, usually caused by gram-positive skin flora (commonly S. epidermidis or S. aureus ), and gram-negative organisms. 
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<br/>5. Peritonitis should be suspected when the cell count of peritoneal fluid shows &gt; 100 cells with &gt; 50% PMNs.
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<br/>6. Empiric intraperitoneal therapy with broad-spectrum abx should be initiated in suspected peritonitis pending C/S.
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<br/>7. Other issues - high protein loss, hernias, hydrothorax, loss of water-soluble vitamins. 


==Reference(s)==
Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:CKD]]
[[Category:Nephrology]]
[[Category:Medicine]]