CAPD Procedure Nepali

CAPD Procedure

Contentious Ambulatory Peritoneal Dialysis

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1.  Room Environment: sf]7fsf] jftfa/0f . ‰ofn 9f]sf, P;L kmofg aGb, e"O{ ;w}F l86f]nn] k'5g] .

2.  df:s nufpg] .

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3.  साधारण तरिका ले हात धुने। 

4.  :6ofG8, 6]an Spirit n] ;kmf tyf tof/L ug]{ .

5.  cfj:os ;fdfg tof/ ug]{ .

·      Blue clamp. lgnf] RofKg] .

·      Minicap (check the expiry). ldlg Sofk cyjf ;]tf] lasf]{ .

·      Fluid (check before tearing the package expiry, strength, lickage, clearity) kfgL RofTg' klxn] expiry, strength, lickage, clearity x]/]/ dfq RofTg] .

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6.  ksfPsf] xl/of] sk8f ePsf]ef8fsf] lasf]{ vf]Ng ]7fpm Spirit n] ;kmf ug]{ .

7.  la/fdLsf] Transfer Set /fv]sf] emf]nf vf]Ng] .

8.  Hand washing: ( 6 steps hand washing): ^ tl/sfn] xft w"g] .

9.   xft xfjfdf ;'sfpg] jf ksfPsf] xl/of] sk8fn] k'5\g]

10.       csf]{ ksfPsf] xl/of] sk8f lng] / la/fdLsf] sfvdf /fVg] .

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11.       Fluid bag nfO{ I.V. Stand df em'G8fpg] / 6fl;Psf] kfok 5'6fpg] .

12.       Drain Bag nfO{ klqsf dfly /fVg] .

13.       Fill Line sf] Yello Ring lgsfNg] .

14.       Transfer Set sf] k'/fgf] Mini Cap lgsfNg] .

15.       Fill Line nfO{ !....@....# ug]/ pN6f] 3'dfpg] .

16.       Fill Line / Transfer Set l56f] l56f] hf]8\g] .

17.       Fill Line df Blue Clamp nufpg] .

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18.       Transfer Set sf] Roller Clamp vf]n]/ k]6sf] kfgL aflx/ lgsfNg] . (kfgL lgsfNg !% b]vL @) ldg]6 ;do nfU5)

19.       kfgL ;a} afxL/ lgl:sP k5L Roller Clamp aGb ug]{ .

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20.       Green Seal efRg] !...@...#...

21.       Fill Line af6 Blue Clamp lgsfNg] / !...@...#...$...%... uGg], la:tf/} Fill Line sf] xfjf Drain Bag df hfG5 .

22.       Drain Line df Blue Clamp nufpg] .

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23.       Transfer Set sf] Roller Clamp vf]n]/ k]6 leq kfgL k7fpg] .   -kfgL k]6 leq hfg * b]vL !@ ldg]6 ;do nfU5 _

24.       kfgL ;a} leq uP k5L Roller Clamp aGb ug]{ .

25.       Fill Line df Blue Clamp nufpg] .

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26.       gof Mini Cap nfO{ ;kmf u/]sf] 6]jn dfly /fv]/ RofTg] .

27.       Mini Cap leq Betadin 5 5}g x]g]{ .

28.       Transfer Set / Fill Line 5'6fpg] .

29.      TransferSetdf gofMini Cap  nufpg] .

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30.       Drain Bag sf] kfgL kmf]u/ 5 jf ;kmf 5hfr ug]{ .

31.       Drain Bag sf] kfgLsf] tf}n lng] .

32.       Record Book df n]Vg] .

33.       lgsfn]sf] kfgLsf] / emf]nfx¿sf] Jojl:yt tl/sfn] Joj:yfkg ug]{ .

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34.       3/df k]6sf] ;+qmd0f (Peritonits) ePsf] jf x'g nfu]sf] s;/L yfxf kfpg] <

·      cToflws Hj/f] cfPdf .

·      cToflws k]6 b'v]df .

·      kvnf nfu]df .

·      jfs jfsL nfu]df .

·      k]6 af6 lgsfn]sf] kfgL wldnf] ePdf jf kmf]u/ lrh b]lvPdf .

·      zl// w]/} lrnfpg] ePdf .

35.       k]6sf] ;+qmd0f (Peritonits) sf] 3/]n' ;dfwfgsf pkfox? .

·      wldnf] ePsf] jf kmf]u/ lrh b]lvPsf] kfgL ePsf] Drain Bag ;'/IfLt /fVg] .

·      l56f] l56f] Heparin /fv]/ (Peritoneal Fluid) kfgL lgsfNg] /fVg] lgsfNg] /fVg] (Flush) ug]{ . of] ub{f @ kf]sf kflg v{r ug]{ .

·      t'?Gt wldnf] ePsf] jf kmf]u/ lrh b]lvPsf] kfgL ePsf] Drain Bag Nofjdf nlu Total Count, Gram Strain / Culture u/fpg] .

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36.       kfok lg:sLPsf] 7fpFsf] ;+qmd0f (Exit Site Infection) ePsf] s;/L yfxf kfpg] <

·      kfok lg:sLPsf] 7fpF j/Lk/L /ftf] x'g] .

·      kfok lg:sLPsf] 7fpF j/Lk/L 3fp x'g] .

·      kfok lg:sLPsf] 7fpFsf] j/Lk/L kfgL tyf lkk lg:sg] .

·      kfok lg:sLPsf] 7fpF j/Lk/L lrnfpg] .

37.      kfoklg:sLPsf]7fpFsf] ;+qmd0f (Exit Site Infection) sf] ;dfwfgsf pkfo .

·      olb 3fpaf6 lkk lg:sLPsf] 5 eg] t'?Gt Nofjdf uP/ Push Culture u/fpg] .

·      lbg lbg} 3fpsf] 8«]l;Ë ug]{ / T-Bact dnd nufpg] .

·      ;w} 3fpnfO{ ;'Vvf /fVg] / uhn] 5f]Kg] .

·      Kfok nfO{ tfGg] j6f{g] gu{g] .

Sanjaya Adhikari

Clinical Coordinator

DKM, Kathmandu (Baxter)

9851043986