CAPD Procedure
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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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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]{ .
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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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] .
· 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
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