Hemodialysis arteriovenous endovascular fistula care

The arteriovenous fistula is known as the lifeline of hemodialysis patients, once the fistula is occluded, hemodialysis immediately can not do, arteriovenous fistula care should usually pay attention to the following aspects: 1, the ipsilateral limb of the fistula should pay attention to keep warm, do not do strenuous exercise, do not take more than 2kg of things, and do not put the fistula compression, prolonged compression may lead to the fistula closed off, do not have the fistula hand pillow to the back of the head; 2, Check the internal fistula murmur every day, it is best to carry a stethoscope and listen to it 3-4 times a day, in the morning, at noon, in the afternoon and before going to bed. Once you find that the fistula murmur disappears, go to the hospital as soon as possible to deal with it, a short time with drugs can still open the fistula, if a longer time may need to re-surgery; 3, the fistula ipsilateral arm to keep clean, especially before the hemodialysis are to wash the arm to minimize the risk of infection; 4, if the fistula bleeding, hematoma, to quickly press the bleeding parts, as soon as possible to the hospital to deal with; 5, the fistula side If the skin is itchy, do not scratch it, it will bleed more after scratching, so go to the dermatology department to check and treat it accordingly; 6. The arm on the side of the internal fistula should be exercised regularly with a small grip, which is good for maintaining the function of the internal fistula. In addition, the rupture of the internal fistula may lead to hemorrhage, so pay attention to protect it.