Vascular Access for Hemodialysis
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Vascular Access for Hemodialysis

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Questions and Answers

What is the purpose of the central partition in a double-lumen catheter?

  • To separate the blood withdrawal and return sides (correct)
  • To facilitate the withdrawal of blood only
  • To ensure equal pressure on both sides
  • To allow for easier insertion into the vein
  • Which vein is typically NOT used for inserting a double-lumen catheter?

  • Radial vein (correct)
  • Subclavian vein
  • Femoral vein
  • Jugular vein
  • What is required before a fistula can be used for dialysis?

  • It needs to mature for about a month (correct)
  • It must be placed in the dominant arm
  • It should be regularly flushed with saline
  • It requires daily monitoring
  • Why should venipuncture and blood pressure measurements be avoided in the arm with the fistula?

    <p>To maintain fistula function and integrity</p> Signup and view all the answers

    What indicates that an arteriovenous fistula is functioning properly?

    <p>Palpable pulsation and a bruit</p> Signup and view all the answers

    Study Notes

    Acute Vascular Access

    • Double-lumen catheters are inserted into the subclavian, jugular, or femoral vein for temporary access to the bloodstream for hemodialysis or CRRT.

    • The catheter has a central partition that divides the blood withdrawal side from the return side, preventing the withdrawal of dialyzed blood.

    • 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

    • Arteriovenous (AV) fistula is created in the nondominant arm for long-term access.

    • It involves surgically connecting an artery and vein, typically the radial artery and cephalic vein.

    • Fistula maturation takes about a month before it can be used for dialysis.

    • A functional AV fistula has a palpable pulsation and a bruit (a swooshing sound) when auscultated.

    • 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.

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