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  • CAPD Prescribing

    Q: Does everyone who starts on CAPD need to complete four (4) exchanges per day?

    A: Your Nephrologist will ultimately determine how many exchanges you will need to perform initially and ongoing to ensure you receive enough dialysis. You may start off on one prescription and as your kidney function changes the prescription will be adjusted to keep you in optimal health while on PD. It is important to remember that your native kidneys typically perform their function continuously. In order to mimic that cleansing, enough dialysis must be performed to avoid uremic symptoms such as nausea, vomiting, itching and restless legs. If you still make urine you may not need as much dialysis initially, but as your urine production decreases, which can be determine by adequacy testing, the Nephrologist will need to make adjustments to your prescription to address the decline. If you are brand new to dialysis and PD is your first modality you may have periods during day or night when you do not have any dialysate in your peritoneum, sometimes referred to as a "dry period". You may also start off with less than 4 exchanges per day but those prescribing decisions will be determined by your Nephrologist and will be based on your individual clinical needs. Thank you for the great question.

    Michelle Cassin RN CPDN
    Sr. Clinical Director
    Home Modalities

  • #2
    Why would someone want to start on APD instead of CAPD? CAPD seems like a bigger hassle than Hemo.


    • #3
      Typically the goal is for patients to initiate Peritoneal Dialysis on CAPD. Starting on CAPD ensures that PD can be performed during a power failure. CAPD also allows for tremendous flexibility and does not require connection to a device during the night. Sometimes APD is necessary for medical reasons and may be prescribed by the Nephrologist to address a medical necessity which would require APD vs. CAPD. CAPD can be tailored to address lifestyle and work. Having a thoughtful discussion with your care team to address all aspects will help ensure PD fits into your lifestyle and helps to maintain your quality of life.


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