Dorsalis pedis artery to create temporary hemodialysis access in the nursing.docVIP

 PAGE \* MERGEFORMAT 3 Dorsalis pedis artery to create temporary hemodialysis access in the nursing [Keywords:] artery puncture; hemodialysis; Care Pathway is to ensure the rapid establishment of blood dialysis, hemoperfusion efficacy and patient survival between the first condition. Temporary vascular access for acute renal failure commonly used in reverse, all kinds of poison, poisoning, and chronic renal failure artery fistula is not yet mature and quiet suddenly decompensation. on the need to establish a temporary blood access in patients with viable stocks, brachial artery puncture and access to adequate blood flow, but more complications, so we use more dorsal artery .2006 ~ 2008, a total of 108 puncture time, success rate above 90%, and achieved good effect, now operating methods and experience are summarized below. 1 How Patients with supine position, the nurses that was hit at the dorsalis pedis artery, routine disinfection of the skin locally, the left index finger and thumb to tighten the dorsal skin, right hand holding the needle 16 within the fistula, was beating away at the point of 1cm to 20 30 degree angle penetrating the skin, piercing the dorsal artery to move forward, see the blood back into the post slightly forward in parallel 0.5cm, needle handle fixed with adhesive tape, in the connecting pipe to start dialysis and perfusion, were observed during hemodialysis needles with or without prolapse, the puncture point without bleeding, patients with and without any discomfort. timely reporting of medical problems and give treatment. After the dial needles, the first Band-Aid on the puncture site labeled, sterile gauze pad and then press hard eye of a needle for 5 minutes then fixed with a tourniquet, pressure 30 to 40 minutes removed. Observation 2 Dorsalis pedis artery puncture to establish the blood channel, to ensure adequate blood flow and adequate dialysis, 108 puncture, in which 98 times the average blood flow maintained