Fistula in hemodialysis patients from the body experience and application management skills.docVIP

 PAGE \* MERGEFORMAT 7 Fistula in hemodialysis patients from the body experience and application management skills Of: Wang Yumei Li Yongxiu Zhang Qiuhua [Keywords:] chronic renal failure hemodialysis arteriovenous fistula Hemodialysis requires a convenient, durable vascular Road, vascular access management is a weak link. Autogenous arteriovenous fistula is the ideal choice for creating fistula in patients with limited blood vessels, which requires renal physician for this adequate attention. arteriovenous fistula hemodialysis patients with chronic renal failure is the “lifeline” [1], the “lifeline” to use is destructive, so a limited lifespan. should be the proper use and protection of the arteriovenous fistula, strengthening Activity arteriovenous fistula care, to ensure the success of dialysis and improve its long-term usage. To be done in patients with chronic renal failure and blood vessels to dilate blood vessels protection training, as long as the diagnosis of chronic renal failure was established, it is possible to take the development of alternative treatment, that is not invasive of blood vessels in the forearm operation or treatment, especially not in the infusion of intravenous indwelling catheter, not Peripheral intravenous drug strong irritant. arteriovenous fistula of the vein has been established to do venous filling are not satisfied with the expansion training. To fully understand the patient before the operation situation, medical history, assessment of cardiac function, with or without such a history of physical scars, upper limb Does thick, with or without edema, understanding the forearm artery, vein, veins have collateral, over-expansion or poor venous filling far, the proximal is smooth and so on. on obese patients, women should carefully looking the forearm vein, can be can be detected by ultrasound surgery using vein, if necessary, feasible and angiography to determine the status of vascular surgery. prior to surgery to