Care for blood vessels used for dialysis for dialysis patients
Hemodialysis requires passing blood through a filter using blood vessels prepared for dialysis. There are three ways to prepare the blood vessels use
Insertion of a catheter into a large vein (Double Iumen venous catheter). The insertion site is usually in the neck, shoulder, or thigh.
Guidelines for Patients on Blood Vessel Care
1.1 Be careful to keep the area around the cable clean.
1.2 Do not let the wound get wet. If it does get wet, you must immediately go to the hospital or clinic to change the wound dressing.
1.3 Do not scratch the area around the wound as this may cause infection.
1.4 Do not wear a pullover shirt. It should be a shirt with buttons in the front for easy removal and to prevent pulling on the neck cords. Which may cause bleeding.
1.5 Do not sleep on the side with the tube inserted.
1.6 For patients who use a femoral vein, they should avoid bending the femoral vein because it can cause the catheter to break, cause internal blood clots, or cause inconvenient blood flow. They should also avoid using the catheter continuously for a long period of time because it is easy to get infected.
1.7 If there is pain, swelling around the protruding wire, or fever, or if the wire has come loose, consult a doctor immediately.
1.8 In cases where the patient is คาสิโนออนไลน์ UFABET ฝากถอนรวดเร็ว เริ่มต้นเล่นง่าย receiving dialysis only once a week, hemodialysis patients should come to the hospital to change the bandage and clean the skin around the catheter every 3 days.
- An arterial fistula (AV fistula) is a surgical procedure. That connects the patient’s own blood vessels, usually performed in the arm.
- Arterial graft surgery is a surgical procedure. That connects a patient’s blood vessels using an artificial blood vessel, usually in the arm.
The appropriate time to consider vascular surgery is the responsibility of the nephrologist. But the decision to use the patient’s own vein or an artificial vein is the surgeon’s decision for each patient.