Nursing measures for internal fistulae in hemodialysis patients

Arteriovenous endovascular fistula is the lifeline of hemodialysis patients, its use of time length and patient vascular conditions related to, but also with the care has a very big relationship. Endovascular fistula care measures for hemodialysis patients mainly include: 1, the fistula side arm to avoid measuring blood pressure, infusion, blood transfusion, lifting heavy objects, pay attention to warmth; 2, after fistula proper elevation of the fistula side of the arm, probably about 30 degrees, mainly closer to the heart, to maintain a certain pressure, to prevent the pressure is too low and the occurrence of endocardial fistula occlusion; 3, endocardial fistula postoperative dressings should not be pasted too tightly, the sleeve should not be too tight, to prevent the pressure from being too large and lead to endocardial fistula Occlusion; 4, pressure after endovascular fistula puncture is very important, the pressure must be in place, the force of the pressure puncture point must be appropriate, not only to be able to stop bleeding, but also to be able to hear the blood vessel tremor; 5, endovascular fistula puncture can be applied locally after the Cipro, to prevent vascular sclerosis; 6, the postoperative fistula side of the arm should be careful to keep clean, to prevent infection; 7, fistula 2 days after the fistula surgery for internal fistula exercise, do some simple fist exercises, and Rub the ball of the skin gently to make the blood vessels full. Fist exercise can be 3-4 times a day, each time is not too long, the power of the beginning from small to large gradually exercise. 4-6 weeks after surgery can start to use the arm, endocardial fistula use process try to avoid limb movement, to avoid hematoma, resulting in vascular compression endocardial fistula occlusion.