Provides access to artery and vein for pt. receiving hemodialysis.
Assess for patency by checking bruit and thrill
If shunt or fistula is not patent call MD right away
*Bruit: A blowing or swishing sound created by turbulence of blood flow due either to a narrow arterial lumen or to a condition such as anemia or hyperthyroidism that elevates cardiac output.
*Thrill: A vibrating sensation like the purring of a cat or water running through a hose. It too indicates turbulent blood flow due to arterial obstruction.
- Bruit: Auscultate over graft to hear the flow of blood
- Thrill: Palpate over graft to feel flow of blood.