Reasons for Procedure
- Remove waste and excess fluid from your blood
- Control blood pressure
- Keep a safe level of salts in the body, such as potassium, sodium, and chloride
- Lowering your red blood count and causing anemia
- Muscle cramps
- Nausea, vomiting
- Feeling hot, sweaty, weak, and/or lightheaded
- Infection of the abdominal cavity
- Inflammation of the heart sac known as pericarditis
- Neurologic problems
- Disruption of calcium and phosphorus balance, resulting in weakened bones
What to Expect
Prior to Procedure
Description of the Procedure
- Continuous ambulatory peritoneal dialysis (CAPD) —This is the most common type of peritoneal dialysis. A bag of dialysate is infused into the abdomen through a tube called a catheter. It remains there for 3-6 hours and is drained. The abdomen is refilled with fresh solution. This way, your blood is always being cleaned.
- Continuous cyclical peritoneal dialysis (CCPD) —Infusing and refilling the abdomen with dialysate is done by machine. It is done at night while you are sleeping.
- Intermittent peritoneal dialysis (IPD) —This uses the same type of machine as CCPD. It requires assistance and is usually done at a hospital or center. It often takes longer than CCPD.
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How Long Will It Take?
- How much kidney function remains
- How much fluid weight gain has occurred since the last treatment
- Amount of waste in the body
- Body size
- Level of salts in your body, such as sodium, potassium, and chloride
- Peritoneal dialysis type used
|Type||Length of Procedure||Frequency of Procedure|
|CAPD||3-6 hours, plus 30 minutes to drain||4 times/day|
|CCPD||9-12 hours||Every night|
|IPD||12 + hours||36-42 hours/week|
Will It Hurt?
- Blood pressure medications
- Calcium supplements or multivitamins
- Phosphorus binders—to lower phosphorus levels in the blood
- Diuretics—to remove excess fluid
- Stool softeners or laxatives—to prevent or treat constipation, which can be caused by decreased fluid intake
- Iron supplements—to increase iron intake, which is important in the production of red blood cells
- Medications to stimulate the body to produce more red blood cells
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, warmth, increasing pain, excessive bleeding, or discharge at the catheter or tube insertion site
- Blood or cloudiness in the peritoneal dialysis fluid
- Nausea or vomiting
- Abdominal pain
The Kidney Dialysis Foundation http://www.kdf.org.sg
National Kidney Foundation http://www.kidney.org
The Kidney Foundation of Canada http://www.kidney.ca
Health Canada http://hc-sc.gc.ca
Dialysis. National Kidney Foundation website. Available at: http://www.kidney.org/atoz/content/dialysisinfo.cfm . Accessed August 13, 2013.
Peritoneal Dialysis Dose and Adequacy. National Diabetes Information Clearinghouse (NDIC) website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/peritonealdose/index.aspx . Updated September 2, 2010. Accessed August 13, 2013.
- Reviewer: Marcin Chwistek, MD; Michael Woods, MD
- Review Date: 08/2013 -
- Update Date: 05/11/2013 -