Cannulation Camp

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PalpationTemperature Change Warmth = possible infection Cold = decreased blood supplyThrill Palpation can be started t at the anastomosis Thrill diminishes evenly along access length Change can be felt at the site of a stenosis;becomes “pulse-like” at the site of a stenosis Stenosis may also be identified as a narrowedarea
PalpationFeel for Size, Depth, Diameter, andStraightness of AVF• Feel the entire AVF from arterialanastomosis all the way up the vein• Evaluate for possible cannulation sites =superficial, straight vein section withadequate and consistent vein diameter
Page 1 and 2: Cannulation CampLeighann Sauls RN C
Page 3: Do you know this person?
Page 6 and 7: A Mature Fistula• Vessel diameter
Page 8 and 9: During AVF Maturation Process• Lo
Page 10 and 11: TourniquetPhoto courtesy of J. Holl
Page 12 and 13: Post-Op Follow-up• Communicate as
Page 14 and 15: Rule of 6’s 6s• Rule of 6’s:
Page 16 and 17: Is This New AVF Matureand Ready for
Page 18 and 19: Fistula Maturation• What diagnost
Page 20 and 21: Maturing FistulaPhysical Exam• Fi
Page 22 and 23: Best Tool/Technique?Physical Exam!
Page 24 and 25: Look for ComplicationsChanges in Ac
Page 26 and 27: Observe Access Extremityfor Stenosi
Page 28 and 29: Infection• Lower rate with AVF co
Page 30 and 31: “Claw Hand” ContractureFrom Ste
Page 32 and 33: Aneurysm• Localized ballooningPho
Page 36 and 37: AuscultationListen for the Nature o
Page 38 and 39: Requirements for Cannulation• Phy
Page 40 and 41: Best Tool/Technique?Physical Exam!
Page 42 and 43: THE RULES
Page 44 and 45: Cannulation of a New AVF• A “Ne
Page 46 and 47: Recommended Use of aCannulator Rati
Page 48 and 49: Getting Started• Reduce the patie
Page 50 and 51: Getting Started• Use 17-gauge nee
Page 52 and 53: Determine Direction ofAccess FlowCh
Page 54 and 55: Adequacy of Needle Length• Compar
Page 56 and 57: Match Needle Gauge to BloodFlow Rat
Page 58 and 59: Needle Direction• Always cannulat
Page 60 and 61: “Wet” Needle
Page 62 and 63: Clinical Clarification• Whether a
Page 64 and 65: Catheter Removal• Once the patien
Page 66 and 67: CannulationTechniques
Page 68 and 69: Tourniquet Use• The proper use of
Page 70 and 71: Venoussite-rotationcannulationsites
Page 72 and 73: Cannulation Technique• Fistula ne
Page 74 and 75: Cannulation Techniques• Site-Rota
Page 76 and 77: Buttonhole Technique• Procedure:
Page 78 and 79: Disadvantages• Requires same cann
Page 80 and 81: Major Technique DifferencesWith But
Page 82 and 83: Establishing Buttonhole Sites• On
Page 84 and 85:
Needles—Sharp and BluntReprinted
Page 86 and 87:
Cannulating Established Sites• Us
Page 88 and 89:
Do’s & Don’tsof Scab Removal•
Page 90 and 91:
Cannulating Established Sites• Lo
Page 92 and 93:
Use of a Buttonhole• If it is imp
Page 94 and 95:
Troubleshooting theButtonhole• Bl
Page 96 and 97:
Troubleshooting theButtonholeDiffic
Page 98 and 99:
Why Offer Self-Cannulation?• Bene
Page 100 and 101:
What Are ProfessionalsSaying?• ME
Page 102 and 103:
Self Cannulation• The sooner self
Page 104:
Questions?• Southeastern KidneyCo
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Cannulation Camp

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