CONTINUOUS AMBULATORY PERITONEAL DIALYSIS Meaning and
Definition
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Continuous Ambulatory Peritoneal Dialysis (CAPD) is a method of renal replacement therapy used in the treatment of end-stage renal disease (ESRD). It involves the continuous removal of waste products and excess fluids from the body by using the peritoneum, a membrane in the abdomen that acts as a natural filter.
During CAPD, a sterile dialysis solution containing glucose is introduced into the peritoneal cavity through a catheter. The glucose in the solution creates an osmotic force that pulls waste products and fluid from the bloodstream into the peritoneal cavity. This process is assisted by the patient's own movements, making it a "continuous" and "ambulatory" form of dialysis. Once the solution has been in the abdomen for a predetermined amount of time (dwell time), it is drained out using gravity.
CAPD offers several advantages over other forms of dialysis, such as hemodialysis. It allows patients to have greater flexibility by not requiring them to be attached to a machine for several hours at a time. CAPD can be performed at home, granting patients greater independence and quality of life. Additionally, it puts less strain on the heart since it achieves a more gradual fluid removal.
Regular medical follow-up is crucial for patients on CAPD to monitor their dialysis prescription, ensure adequate waste removal and fluid balance, and prevent complications such as peritonitis or catheter-related infections.
Overall, Continuous Ambulatory Peritoneal Dialysis is a form of renal replacement therapy that utilizes the body's peritoneum as a filtration medium, allowing for continuous waste removal and fluid balance.
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