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Dosing of Peritoneal Dialysis

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Core Concepts in Dialysis and Continuous Therapies

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Abstract

Peritoneal dialysis can be performed either manually (continuous ambulatory peritoneal dialysis, CAPD) or by using a cycler (automated peritoneal dialysis, APD). The targets for adequate dialysis (solute and fluid removal) are reviewed. The impact of the velocity of peritoneal solute transport for the choice between CAPD and APD is highlighted. Then the effects of changing various modifiable treatment parameters such as fill volume, dwell time, and number of dwells are discussed. Thereafter, advice is given on how to stepwise improve the adequacy of CAPD and APD. The indications for tidal peritoneal dialysis (TPD) are discussed. Finally, the impact of CAPD and APD on sodium removal is underlined.

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Authors and Affiliations

  1. Department of Nephrology, Dianet, Academic Medical Center, Amsterdam, The Netherlands

    Dirk Gijsbert Struijk MD, PhD

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  1. Dirk Gijsbert Struijk MD, PhD
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Correspondence to Dirk Gijsbert Struijk MD, PhD .

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Editors and Affiliations

  1. Department of Nephrology, Beaumont Hospital, Dublin, Dublin, Ireland

    Colm C. Magee

  2. Department of Medicine/Renal Division, Brigham and Women's Hospital, BOSTON, Massachusetts, USA

    J. Kevin Tucker

  3. Global and Continuing Education, Harvard Medical School, Boston, Massachusetts, USA

    Ajay K. Singh

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Struijk, D. (2016). Dosing of Peritoneal Dialysis. In: Magee, C., Tucker, J., Singh, A. (eds) Core Concepts in Dialysis and Continuous Therapies. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7657-4_9

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  • DOI: https://doi.org/10.1007/978-1-4899-7657-4_9

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