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Questions and Answers
What is the purpose of the central partition in a double-lumen catheter?
Which vein is typically NOT used for inserting a double-lumen catheter?
What is required before a fistula can be used for dialysis?
Why should venipuncture and blood pressure measurements be avoided in the arm with the fistula?
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What indicates that an arteriovenous fistula is functioning properly?
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Study Notes
Acute Vascular Access
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Double-lumen catheters are inserted into the subclavian, jugular, or femoral vein for temporary access to the bloodstream for hemodialysis or CRRT.
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The catheter has a central partition that divides the blood withdrawal side from the return side, preventing the withdrawal of dialyzed blood.
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Blood is extracted through small openings in the catheter’s proximal portion and returned through an opening in the distal end.
Long-term Vascular Access
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Arteriovenous (AV) fistula is created in the nondominant arm for long-term access.
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It involves surgically connecting an artery and vein, typically the radial artery and cephalic vein.
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Fistula maturation takes about a month before it can be used for dialysis.
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A functional AV fistula has a palpable pulsation and a bruit (a swooshing sound) when auscultated.
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The arm with the fistula should be avoided for venipuncture and blood pressure measurement.
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Description
This quiz covers essential concepts of acute and long-term vascular access for hemodialysis. Learn about the usage of double-lumen catheters and arteriovenous fistulas, including their placement and functionality. Test your knowledge about the procedures and care involved in managing vascular access points.