CAPD
Continuous Ambulatory Peritoneal Dialysis (CAPD) is a form of renal replacement therapy used in the management of end-stage renal disease (ESRD).
Here are key aspects of service:
Patient Assessment and Education:
- Assess patients for suitability for CAPD, considering factors such as residual kidney function, peritoneal membrane status, and patient preference.
- Provide comprehensive education to patients and their caregivers about CAPD, including the technique, equipment, hygiene practices, and potential complications.
CAPD Prescription:
- Prescribe the appropriate CAPD prescription based on the patient's clinical and biochemical parameters.
- Adjust dialysis prescription as needed, considering factors such as residual kidney function, ultrafiltration goals, and adequacy of solute clearance.
Fluid Management:
- Monitor and adjust the fluid balance by modifying dwell times, fill volumes, and exchange frequency based on the patient's clinical status and ultrafiltration needs.
Infection Prevention and Management:
- Educate patients on proper exit site care, catheter care, and hygiene practices to prevent peritonitis.
- Monitor for signs of peritonitis and initiate prompt treatment with appropriate antibiotics when necessary.
Prescription Adjustments:
- Regularly review and adjust the CAPD prescription based on ongoing assessments, changes in residual kidney function, and patient tolerance.
- Consider the impact of CRRT on antibiotic dosing, anticoagulation, and other medications.
Medication Management:
- Adjust medication dosages based on the patient's renal function and the pharmacokinetics of drugs during CAPD.
- Monitor for potential drug interactions and modify medications as needed.
Monitoring and Follow-Up:
- Schedule regular follow-up appointments to assess adequacy of dialysis, monitor catheter function, and address any emerging issues.
- Conduct ongoing evaluations of peritoneal membrane function and assess the need for additional therapies as the disease progresses.
