CAPD on Alternate Days

  • A. Trevino-Becerra
  • A. G. Valencia

Summary

Four patients, (previously on CAPD for a mean of 16 months during a patient experience of 36 months \( (\bar{X}9) \), were treated with CAPD-A that consist of four exchanges in 24 hours and for the next day only one exchange in 24 hours. Comparison of average results obtained: Glucose: CAPD, 82.5 ± 6.0 mg/dl; CAPD-A 65.0 ± 2.0 mg/dl; Albumin: CAPD 3.3 ± 0.31 g/dl; CAPD-A 3.9 ± 0.36 g/dl; CO 2: CAPD, 29.6 ± 1.5 mEq/1, CAPD-A 25.7 ± 1.03 mEq/L.With CAPD, the peritonitis rate was 3.25 per patient, one infection every 4 months. With CAPD-A only one patient had peritonitis twice in 7.7 months and two patients remained infection free. Infection rate decreased 0.6 infections/patient/year. Levels of urea, Cr., uric acid, Hb., HCT., Na., K., Cl., Ca. and blood pressure were similar with both methods. There was 1.0 g protein increase with CAPD-A.

CAPD-A is a useful procedure to correct CAPD complications. Fewer exchanges leave the patient free for 24 hours every third day and there is a reduction in the amount of dialysis solution by one third.

Keywords

Cholesterol Fatigue Phosphorus Albumin Urea 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. Trevino-Becerra
    • 1
  • A. G. Valencia
    • 1
  1. 1.Nephrology Department, Specialties Hospital, “La Raza” Medical CenterIMSSMexico

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