Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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<strong>AVF</strong> Complications: Case StudyReturning to the case…..Mr. Kline has been dialyzing with his fistula for12 months with no problems.You notice that the dynamic venous pressure atQb 200ml/min is 200mmHg. You review thedocumentation on the chart & find problems.139
<strong>AVF</strong> Complications: Case StudyMr. Kline’s chart reveals:• Needling difficulties• Flashback of “black” blood• Clotted needle• Lack of supply• Hematoma formation• Frequent clotting of extracorporeal circuit• Prolonged bleeding post dialysis• Aneurysm• Trend of elevated dynamic venous & arterial pressures (over 3consecutive runs)• A drop in access flow of > 20% from the baseline• A drop in Diascan KT/V (from 1.3 to 1.0); PRU 72% reduced to 60%• IDY of 130 @ qB of 350 mL/min; previously 180140
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Module #3:AVF Maturation, Needling
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AVF MaturationAVF maturation = proc
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AVF Maturation2. How do we know if
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AVF Maturation3. What are the tools
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AVF Needling: Case StudyReturning t
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AVF NeedlingHow will you prepare th
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Is This an Easy Access to Needle?Br
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AVF Needling: Vein MappingResult: M
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AVF Needling: Watchful Eyes• “S
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AVF Needling: Using a Teflon Needle
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Page 51 and 52: Fistulogram with Mapping NotesRecom
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Page 77 and 78: AVF Complication: SpontaneousRuptur
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Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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