I would like Table 4 of ISPD 2010 guidelines which is entitled “for CAPD patients” clarified please. – The ‘continuous’ column – does this suggest for a CAPD patient that one should give the LD for one exchange EVERY 24hrs, then the MD in remaining exchanges OR the LD for the first exchange, and then MD in all subsequent exchanges (ie don’t give the large dose again)? – With regard to dosing antibiotics in CCPD – If giving continuous antibiotics, is it appropriate to use the Table 4 continuous column recommendation for the dosing (although it states for “CAPD patients”)? If so, should you use the LD in a prolonged dwell to start, then MD in cycling exchanges, followed by then the large LD dose in day time dwell every day, OR should you just continue to use MD dose in all subsequent exchanges including the daytime dwell?

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Chanel P, Doctor/MD from Vancouver asked
I would like Table 4 of ISPD 2010 guidelines which is entitled “for CAPD patients” clarified please. – The ‘continuous’ column – does this suggest for a CAPD patient that one should give the LD for one exchange EVERY 24hrs, then the MD in remaining exchanges OR the LD for the first exchange, and then MD in all subsequent exchanges (ie don’t give the large dose again)? – With regard to dosing antibiotics in CCPD – If giving continuous antibiotics, is it appropriate to use the Table 4 continuous column recommendation for the dosing (although it states for “CAPD patients”)? If so, should you use the LD in a prolonged dwell to start, then MD in cycling exchanges, followed by then the large LD dose in day time dwell every day, OR should you just continue to use MD dose in all subsequent exchanges including the daytime dwell?

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