Av Fistulas Case Study

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Problematic issues of AV Fistulas
(tab)AV fistulas are the first choice of access for dialysis patients, they come with their share of problems. Fistulas require surgery to join the patient’s own artery and vein. Having less severe problems over other types of accesses, listed below are several issues often faced by patients with AV fistulas.

• Fistula surgery takes four to six weeks to mature and in rare instances can take up to a year.
• “Steal Syndrome” usually the fault of a bad surgical spot, the fistula “steals” too much blood from the hand. Causing poor circulation to the hand, symptoms include numbness and cold in the hand, can also cause pain in the hand.
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• Infection, both patient and caretakers need to watch for redness,
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Once needles are in place tape needles down so they cannot move. As an at home caretaker, if the vein becomes infiltrated, it gets ugly, similar to a very large bruise and they are painful. Alternate ice and heat for 2 days until the blood is reabsorbed by the …show more content…
Never allow anyone to take blood, start an IV or take blood pressure in the fistula arm. Never carry anything heavy over the fistula or sleep on it, the blood circulation can easily be cut off. I found, if you prop the arm, the patient is less likely to roll over on it.
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• As the primary at home care taker, learn everything possible about dialysis and what to do in case of emergency. Be the lifeline and don’t be afraid to do what is needed. Become CPR certified and keep first aid materials ready.

Conclusion

(tab)Due to the initiative called Fistula First, more patients have AV Fistulas than any other access. They are more dependable, with fewer hospital stays and far less infections. The goal is to keep it healthy, this is the responsibility of the patient, the staff and the home care takers. Make sure the patient and all at home care takers are educated, on all complications and what to do if one arises. You are now, and always will be, your biggest health advocate. You keep your fistula clean and healthy, feel for the thrill, and your fistula will keep you healthy, for years to

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