动静脉内瘘的护理（Nursing care of arteriovenous fistula）.docVIP

动静脉内瘘的护理（Nursing care of arteriovenous fistula） Nursing care of hemodialysis patients with internal fistula Arteriovenous fistula is the necessary vascular access for dialysis treatment. It is also your lifeline. In the daily dialysis treatment before, should try to protect all the blood vessels in the arm, if must check or blood transfusion, try to use the hand or ankle arm blood vessels, vascular protective stoma is good, will increase the success rate, for the good foundation of lifeline. Nursing care of a patient with arteriovenous fistula: 1, the use of soft pillow to raise the side of the body, generally slightly higher than the heart position. 2, avoid the side of the body exposed to overheating or cold environment, loose sleeve, bandage tightness, side pressure, not conducive to limb blood circulation, prevent finger tip swelling. 3. Keep the operation wound clean, dry and prevent infection. 4, pay attention to observe the site of bleeding and other abnormalities. 5. Prohibit the volume, blood pressure, blood transfusion, transfusion and blood collection in the side of the stoma. 6, every day to check whether the arteriovenous fistula patency, learn to monitor vascular tremors, vascular murmurs, abnormal timely report to the doctor. 7, third days after the operation can be started clenching, also be hand pinch the sponge ball, holding Jianli etc., in order to promote the movement of forearm fistula vascular filling, promote fistula maturation. 8. Remove stitches about 7-10 days after operation. 4 weeks after operation, you can start the test according to the maturity of internal fistula. Method for exercising arm after two internal fistula. 1, the operation side arm natural prolapse, fist or hold a soft ball squeeze pressure, the number of 1 to 10 and then relax, repeat 5 times. 2, the above action to do fifth times, the upper arm forced bending 1 to 5 seconds, then relax unbend, repeat the above 1-2 movements for about 15 minutes. 3, if you do not have the