Doctor insights on:
Shunt To Right Arm For Dialysis
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. ...Read more
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
Multiple black and blues in one arm only. No injuries. No other symptoms. Hx. Of dialysis, still have the shunts in the arm. Two months ago, hip fract?
Aspirin culprit: But you need it to keep shunt open. Show to nurse. ...Read more
I have a ventricular shunt across my chest and the internal scare tissue has become inflamed, from a bike crash, and causes me constant mild pain when when i move my right arm. What can I do?
See a Provider: What you are describing could indicate that you have a problem that needs attention. Please see a provider. ...Read more
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. ...Read more
Itch on dialysis:
If this is only on the arm where he has his vascular access such as fistula or graft it may relate to irritation or allergy to the cleansing preparation solution being used.
Chloraprep is a common one that can cause it.
If it is on both arms and else where it relates to his kidney failure and most commonly a high phosphorous level. ...Read more
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). ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Trauma: Repeated trauma from the use of the needles to access for avf builds up over time. If happens to some degree in every patient but can happen more in patients who get the same areas "re-stuck" every time. These are called pseudoaneursyms. Best practice is to rotate "sticks" (needle access) as much as possible. Some patients need to have these operated on in extreme situations. ...Read more
Depends on cause: Bumps must be looked at to determine their nature. Cannot answer without seeing and palpating the sites. ...Read more
What are cosmetic surgery options for scarring/bumps after having a dialysis fistula on your arm?
Scar Revision: Scars can sometimes be improved with the following methods: 1) passage of time; 2) protection from sun; 3) dermabrasion or laser resurfacing; 4) steroid injection; 5) silicone topical therapy; 6) cosmetics (for camouflage); 7) surgical revision. The methods taht will work best for you will depend on factors seen during an exam. Hope this helps! ...Read more
What cosmetic surgery options are available for scarring/bumps after having a dialysis fistula on your arm?
Plastic surgery: A plastic surgeon would have to exam the area and develop a plan of care. ...Read more
Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis.is it better or permanent catheter?no other option
Avoid catheters.: It sounds like your vascular surgeon is planning on placing what is sometimes referred to as a "necklace graft." Regardless of their location, and if placed by an experienced surgeon, grafts carry a much lower risk of getting infected than catheters. With this lower risk for infection, people with grafts generally live longer than those with catheters, so catheters are a last resort. Good luck! ...Read more
I have an av fistula in the antecubital space of my arm and a peritoneal dialysis catheter, is there a safe way to play paintball ?
Would avoid: High impact paintball may cause damage ask your surgeon what they think. ...Read more
My right arm n forearm pains a lot for past one day! what may b d cause? Nd what s d remedy for it?
Arm pain: It's hard to tell what caused it by the description provided. Overuse is common. Sprain is another possibility. Give it rest, keep it elevated. If pain is severe, a sling may help temporarily. Try heat/cold applications, simple analgesics such as Acetaminophen or ibuprofen. If the pain continues, see doc. ...Read more
About 20 min ago my right arm has been feeling heavy and weak. If I try to pick something up, the item feels 10x heavier than it is. It has also had s?
Go to ER: Go immediately to the ER. Call for an ambulance now. ...Read more
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