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Doctor insights on: Shunt To Right Arm For Dialysis

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Two yrs ago, an IV in left arm, hurt so bad, to remove it, I was given morphine. Now I may need dialysis, but my right arm is my dominate. Will they s?

Two yrs ago, an IV in left arm, hurt so bad, to remove it, I was given morphine. Now I may need dialysis, but my right arm is my dominate. Will they s?

Access placement: If you decide to go on hemodialysis, your vascular access should be a arterio-venous fistula (avf). That is normally placed in the non-dominant arm. Another option is peritoneal dialysis (pd), where a catheter in placed in the peritoneal cavity so no arterial access is needed. See the image on the right. The catheter is not placed in any abdominal organs. Discuss pd with your nephrologist.

Dr. Quresh Khairullah
515 Doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Why is arm with dialysis port swelling?

Why is arm with dialysis port swelling?

See your doctor: There are many reasons for this to happen. You really need to have your doctor check this out right away.

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With an av shunt for dialysis, will I still hear the bruit?

With an av shunt for dialysis, will I still hear the bruit?

No: The bruit is usually heard with a stethoscope by your physician. You may however feel the "thrill" of the fistula, which is similar to a cat purring.

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What can I ask the nurses to use to numb my arm before dialysis?

What can I ask the nurses to use to numb my arm before dialysis?

Lidocaine topical: Usually patients who have a lot of pain before needle insertion we give them Lidocaine topical cream that they apply at the site of injection 30 to 60 min before dialysis. It is not over the counter and it should be prescribed by your physician.

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What happens if dialysis can't be pumped in through vein in my arm?

Need Catheter: If an av fistula fails in dialysis patients, then they require a dialysis catheter until another long term dialysis access can be established. If all arm veins are too small or scarred, then it is possible to place an av graft (synthetic tube to connect the arterial and venous systems). Av grafts are typically made of gore-tex (ptfe).

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Should bloodpressure be taken in arm where fistula made for dialysis?

Should bloodpressure be taken in arm where fistula made for dialysis?

No: If you take BP and tighten a cuff above the fistula, clotting can occur and clog the fistula. Distally, there is already a steal of blood flow due to the fistula so you don't want to tighten a cuff there unless there is nowhere else to go.

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What happens if dialysis can't be pumped in through a vein in the arm?

What happens if dialysis can't be pumped in through a vein in the arm?

Other options: Include veins in the other arm or the legs. Also, another kind of dialysis that does not require veins or blood flow is called peritoneal dialysis could be done throught the abdominal wall.

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What does a hemo dialysis site look like on your arm?

Lump on skin: Hemodialysis sites look like engorged veins. If they are "fistulas" (artery connected to a vein) the lump on the skin follows the natural pathway of the vein. Over time these can dilate and become aneurysmal. The arterio-venous grafts are basically synthetic / plastic tubes which are placed right under the skin. These you can see and feel. The actual needle puncture sites develop small scabs.

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Why does my dialysis shunt itching during and after dialysis?

Why does my dialysis shunt itching during and after dialysis?

Irritation: The skin over the shunt may be itching in reaction to irritation from adhesive from tape or from the topical antiseptic used on clean the shunt prior to use. If there is any redness or signs of irritation, see a dermatologist for topical treatment.

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Dialysis shunt and dialysis fistula the same?

Dialysis shunt and dialysis fistula the same?

No: A shunt, or graft, is a piece of synthetic tubular material inserted under the skin that dialysis needles insert directly into. A fistula is a connection of your own artery to a vein. Needles are then placed into the vein when the wall thickness matures.

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Will the bump on my arm from dialysis go away after I stop?

Let someone see it.: Hard to say without the benefit of examining that bump. If it is related to infiltration of blood from a needle inserted into your fistula or graft, then it should resolve with time. If the bump is an access aneurysm, it may need to be managed by your vascular surgeon. Better check with your rounding nephrologist who can better evaluate the bump. Good luck.

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How long after vascular shunt placement can I begin dialysis?

Depends: Most access surgeons will recommend 1-2 weeks after placement. This is to allow scar to form around the graft so that your risk of bleeding/infection after accessing with needles is lower. In an emergency, it can be used sooner.

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Please tell me what can I use to numb my arm before getting poked with needles for dialysis?

Numbing of arm: You can do several things to make your arm numb so the cannulation (c) of your vascular access is less troublesome. One is ask the physician to order the nurses to inject some Lidocaine (l) over the sites they use for cannulation, or use some l ointment. Another option is to spray Ethyl Chloride over the access sites of c, this causes the skin to be numb for a brief period of time. Good luck.

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What do you suggest if my father is on dialysis. His arm is always itching, does anyone know why?

What do you suggest if my father is on dialysis. His arm is always itching, does anyone know why?

Uremia: One of the most common and bothersone complaints in uremia is pruritis. Discuss with his Dr. As there may be specific issues going on that can be found and helped.

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What is the bump in the arms of dialysis patient?

Fistula +/- aneurysm: Dialysis patients need a mature vein that can withstand repeated puncture which is created by diverting arterial flow into a nearby vein. Needling the same site causes a loss of pain nerve fibers, and thus patients prefer that site for repeated use. This can cause fibrosis and thinning of the wall at that site, resulting in aneurysmal dilatation. This is not in danger of rupturing.

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Why do dialysis patients have bumps on their arms?

Aneurysm: You may be referring to areas in the dialysis graft or fistula which can form called aneurysms or pseudoaneurysms. The fistula can become dilated and this will look like a lump or bump.

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Why does dialysis patients have bumps on their arms?

Access: You may be referring to the patient's arterio venous graft. This is used to allow the dialysis to be performed. It is where the needles are placed into the patient so that blood can be removed, cleaned and processed, and then returned to the patient.

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Shunt (Definition)

Device that allows the flow of usually a fluid between two places. Sometimes a shunt may be used during carotid endarterectomy surgery to maintain the blood flow to the brain while the carotid artery ...Read more