HEMODIALYSIS

Topic: Hemodialysis Definition

Removes metabolic waste and excess fluid from blood using a dialysis machine

Topic: Hemodialysis Frequency

3x per week (e.g., M-W-F or T-Th-F)

Topic: Hemodialysis Process

Blood pumped out -> cleaned by dialyzer (waste removed electrolytes balanced) -> returned to body

Topic: Hemodialysis Vascular Access Types

Arteriovenous fistula Arteriovenous graft Central venous catheter

Topic: AV Fistula Definition

Surgically created connection between an artery and vein

Topic: AV Graft Definition

Uses synthetic/biological material to connect artery and vein

Topic: Hemodialysis Complications

Hypotension headaches dizziness fatigue vomiting muscle cramping

Topic: Hemodialysis Nursing Care

Monitor BP/WT Assess bruit/thrill NEVER do BP/labs on access arm Keep on fluid restriction Hold meds before dialysis

Topic: AV Fistula Assessment: Bruit

Auscultated sound indicating flow

Topic: AV Fistula Assessment: Thrill

Palpable vibration indicating flow

Topic: Protecting AV Access

Avoid BP measurements Venipuncture tight clothing trauma or pressure on access arm