Treatment Options for Kidney Failure (ESRD)
Peritoneal dialysis (PD) uses the lining of the abdomen (peritoneum) to filter toxins from the bloodstream. A surgically implanted catheter is used to fill the abdominal cavity with dialysate. The peritoneum is similar to a hemodialysis membrane, drawing toxins out of the blood and into the dialysate-filled abdominal cavity. The waste-filled dialysate is then removed from the abdominal cavity after a prescribed period of dwell time. This is known as an exchange. There are several different types of PD:
- Continuous Ambulatory Peritoneal Dialysis (CAPD). The patient inserts a catheter into the abdomen and infuses a fresh supply of dialysate. The process is performed several times during the day (usually a four to six hour exchange each time) and once while sleeping through the night.
- Continuous Cyclic Peritoneal Dialysis (CCPD). A machine, or cycler, performs the dialysate exchange in CCPD. It will perform several cycles during the night, and then one or two daytime exchanges that last the entire day.
- Intermittent Peritoneal Dialysis (IPD). IPD, sometimes called NIPD (nocturnal intermittent peritoneal dialysis) also uses a cycler to perform six or more exchanges at night. However, unlike CCPD, there is no daytime exchange.
Honey Cookies Honey-Mustard Lamb Chops Quick Kebabs Curry and Orange Hummus Lemon-Macerated Okra and Olives Grapefruit Brulee Herbed Scallops Rosemary Chicken Skewers Low-Carb Crab Rangoon Eggplant Tapenade
This morning it wasn’t the sun, the wind, or the birds that woke me up. It was the soft, insistent vibrating of a medical device urging me to check my blood sugar. Opening my eyes, still safely under the covers, I checked my blood sugar with a meter smaller than a deck of cards, calibrated my continuous glucose monitor, and then glanced at my insulin pump — which reminded me that today was the day I needed to change my infusion set. My dLife is pretty high tech. And I’m...