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Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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<strong>AVF</strong> Complication: Needle InfiltrationWhat do you do?• Hold site – including where needle tip was – with two fingers or moreuntil hemostasis achieved.• If suspect ‘back-blow’ infiltration, use c-clamp digital pressure.• Apply ice immediately after hemostasis & ask patient to reapply ice athome for 20 minute periods at least once an hour for next 24 hours.Heat or warmth can be applied thereafter.• Patient may take acetaminophen for discomfort.• Assess access for degree of hematoma at the time of infiltration & at thenext run to determine severity & level of needling skill required.• Needle away from hematoma site until hematoma resolved.126

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