Describe the care of the AV Fistula.
- -NO blood pressures or venipunctures in
- the affected arm of the fistula before or after it is inserted. These procedures may damage vessels and lead to failure of AV fistula.
- -Palpate and auscultate fistula q4hrs. A functional AV fistula has a palpable pulsation (“thrill”) and bruit on
-Thrombosis, infection and aneurysms can be a problem (can cause the fistula to fail) – if these problems occur, the a new fistula may need to be developed at a different site
-AV fistula sites should not be used to administer IV therapy or any type of blood draws.
-Patient needs to sleep in a position that will keep body weight off the arm with the fistula.
-Instruct patient to avoid carrying heavy items and not to wear tight fitting clothes over arm with the fistula.
Assess distal pulses and circulation frequently.