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Kerstin

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AV-Fistula
« on: May 26, 2011, 06:15:08 AM »


An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. It may be congenital, surgically created for hemodialysis treatments, or acquired due to pathologic process, such as trauma or erosion of an arterial aneurysm.

Patients with end stage renal failure are treated with hemodialysis. In dialysis, blood is withdrawn from an artery or vein, purified, and returned to a vein. The volume of blood is too great for veins to handle, so a vein must be enlarged. An artery and vein, usually in the arm above or below the elbow, are sewn together, to create a fistula, and arterial pressure eventually enlarges the vein. The enlarged vein can accommodate a cannula or large needle.

http://en.wikipedia.org/wiki/Arteriovenous_fistula

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Kerstin

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Re: AV-Fistula
« Reply #1 on: May 26, 2011, 06:34:21 AM »
Purpose:
To outline the nursing management of the PACU patient who has undergone an internal arteriovenous graft or an internal arteriovenous fistula for the purpose of hemodialysis.

Supportive data:
Arteriovenous (AV) fistulas – direct connections between an artery and a vein – are the standard means of vascular access for long-term renal dialysis. The internal AV shunt is the placement of a graft between a vein and artery. The brachial artery and vein are the most commonly used vessels, but vessels in the upper arm, forearm, or leg can also be used. The internal AV fistula results from the anastomosis of an artery to a vein in the arm. Fluid boluses and/or pharmacologic therapy are sometimes used to help achieve adequate blood flow through the shunt or fistula.

CARE:

- Elevate extremity on pillows to prevent edema

NOTE: Do not use arm slings.

-Keep extremity straight to prevent constriction of vessels.

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chicogon

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Re: AV-Fistula
« Reply #2 on: May 26, 2011, 01:37:22 PM »
Pwede pod gamiton bira ug pistola... kay paspas najod  ;D



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Re: AV-Fistula
« Reply #3 on: May 26, 2011, 02:06:02 PM »
mag huwat ta ni doc lorenz nga mo entra ani......mao ni iyang forte.... ;)

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hubag bohol

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Re: AV-Fistula
« Reply #4 on: May 26, 2011, 02:25:21 PM »
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bugsay

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Re: AV-Fistula
« Reply #5 on: May 26, 2011, 02:34:16 PM »
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hubag bohol

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Re: AV-Fistula
« Reply #6 on: May 26, 2011, 02:47:42 PM »
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Re: AV-Fistula
« Reply #7 on: May 26, 2011, 02:48:31 PM »
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Kerstin

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Re: AV-Fistula
« Reply #8 on: May 26, 2011, 06:49:16 PM »
How should I take care of my vascular access?

You can take several steps to protect your access:

    Make sure your nurse or technician checks your access before each treatment.
    Keep your access clean at all times.
    Use your access site only for dialysis.
    Be careful not to bump or cut your access.
    Don’t let anyone put a blood pressure cuff on your access arm.
    Don’t wear jewelry or tight clothes over your access site.
    Don’t sleep with your access arm under your head or body.
    Don’t lift heavy objects or put pressure on your access arm.
    Check the pulse in your access every day.

http://kidney.niddk.nih.gov/kudiseases/pubs/vascularaccess/

Hala dli pwede dat-ogan sa imo unlanggalama bai Bugs ^_^

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hubag bohol

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Re: AV-Fistula
« Reply #9 on: May 26, 2011, 06:51:26 PM »

Fistulang wa kavuto! Hasol ra ning sakita jawaa! :P

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Kerstin

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Re: AV-Fistula
« Reply #10 on: May 26, 2011, 07:28:48 PM »
Bwahahaha..di ba elective subject na nimo manoy? Gawas pa jud sa saykayatris nga sideline sa silingang lawak?

Fistulang wa kavuto! Hasol ra ning sakita jawaa! :P

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hubag bohol

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Re: AV-Fistula
« Reply #11 on: May 26, 2011, 07:41:24 PM »

Jack of all trades master of none man ko. Hapit ko mahimong pari, abogado, doctor, architect, you name it, I'm not it. ;D 

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Re: AV-Fistula
« Reply #12 on: May 26, 2011, 07:44:14 PM »

si Bai Du?

Wa na ko ka-gets ani, Bay Bugs. ???  Hmm, basin si Inday Kerstin ray makahatag nakog katin-awan ani...

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Kerstin

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Re: AV-Fistula
« Reply #13 on: May 26, 2011, 07:44:38 PM »
..naglektur baya ka sa laing lawak og...on how to ANALize behavior in general totpik aw este aspect ba to?

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Kerstin

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Re: AV-Fistula
« Reply #14 on: May 26, 2011, 07:46:10 PM »
Wa na ko ka-gets ani, Bay Bugs. ???  Hmm, basin si Inday Kerstin ray makahatag nakog katin-awan ani...

DATU dagohay na hihihi

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Re: AV-Fistula
« Reply #15 on: May 26, 2011, 07:58:25 PM »

..naglektur baya ka sa laing lawak og...on how to ANALize behavior in general totpik aw este aspect ba to?

Mao ba? Hmm, hubag, este, hubog tingali ko adtong panahona, wa na ko kahinumdom...

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Kerstin

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Re: AV-Fistula
« Reply #16 on: May 26, 2011, 08:10:48 PM »
Mao ba? Hmm, hubag, este, hubog tingali ko adtong panahona, wa na ko kahinumdom...

..nakit-an nako to ganiha pero nawala man..morag ninja..ako nya to i-pm ang links nmo..interessant..!

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chicogon

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Re: AV-Fistula
« Reply #17 on: May 26, 2011, 10:55:45 PM »


Left-handed av fistulero!!!  ???



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