With continuous ambulatory peritoneal dialysis, you will perform the exchanges manually, following these steps:

• Always wash your hands before handling your catheter and transfer set, and wear a surgical mask when connecting the transfer set to the disposable tubing.

• Drain the used dialysis solution from your abdominal cavity into the drain bag. Near the end of the drain, you may feel a mild tugging sensation that tells you most of the fluid is gone.

• After you drain the used solution from your belly, you will close or clamp the transfer set so the fresh solution does not flow into your belly yet. Then you will let some of the fresh solution flow directly into the drain bag. This step removes air from the tubes.

• The final step is to clamp the line that goes to the drain bag, open the transfer set, and refill your belly with fresh dialysis solution from the hanging bag.