Key points of care for arteriovenous fistula in hemodialysis patients.

1. Do more exercises to clench your fists, if your hands are swollen badly (I have been like this for a while after surgery), don't dare to move, but move more, the blood flow will naturally go away.

2. Be careful not to press the fistula for a long time.

Nothing else, just some things that hemodialysis patients need to pay attention to such as paying attention to nutrition.

The importance of arteriovenous fistula

1. Arteriovenous fistula is the safest and longest-lasting vascular access to maintain dialysis patients.

2. Adequate dialysis blood flow is the premise to ensure the quality of dialysis.

Self-care for arteriovenous fistulas

1. Keep the arm on the side of the fistula clean, and clean the arm on the side of the fistula with soap and water before each dialysis.

2. Avoid contact with water at the puncture site on the day of the end of dialysis to prevent infection.

3. If a hematoma occurs at the puncture site, it can be compressed to stop the bleeding, and cold compress with ice pack, and hot compress after 24 hours.

4. The patient self-examines the condition of internal fistula (three times a day).

palpation and auscultation: internal fistula tremor, vascular bruit;

blood pressure, blood flow;

whether there is bleeding or hematoma at the puncture needle hole;

If there is an abnormality, go to the hospital immediately.

5. The arm on the side of the ostomy should not be compressed: the sleeves are loose, do not wear too tight jewelry, do not put the arm under the pillow when sleeping, lie on the side to avoid compressing the arm, and avoid holding heavy objects.

6. How to use Xiliaoto.

Xiliao has the effects of chemical fiber anticoagulation, preventing the formation of vascular embolism, anti-inflammation and swelling.

1) After applying the ointment, follow the direction of the arteriovenous fistula from the distal end to the centripetal end.

2) At a frequency of 50-80 beats, use the thenar muscles to divide the internal fistula into 4 eight beats.

3) From the distal end to the proximal end, press and knead continuously for 5 minutes for 5 minutes, and the kneading force is twice the natural drooping force of the entire palm.

1) Before dialysis: explain the purpose, process and possible problems of dialysis to the patient to avoid tension and increase the sense of security.

2) Dialysis: observe the changes in the patient's consciousness, blood pressure, pulse, respiration, body temperature, and **, and pay attention to the occurrence of bleeding, hypotension, allergies, and imbalance syndrome; Pay attention to aseptic operation hypopermeation; Establish vascular access and fix it properly; Reasonably adjust and set the parameters of the dialysis machine to observe whether the equipment is operating normally; Fill in the dialysis record form, record the dialysis time, the amount of ultrafiltration liquid, the type of anticoagulant, the dose, etc.

3) After dialysis: observe whether the patient's general condition improves; Blood samples are collected for laboratory testing to understand the efficacy of dialysis; Remove the catheter, compress and stop the bleeding, the location should be accurate, the time should be sufficient, and pay attention to the empty spike to observe whether there is bleeding and hematoma in the locality; If the catheter needs to be retained, the catheter should be sealed with heparin saline.