Final answer:
To prevent complications associated with an internal arteriovenous fistula for hemodialysis, avoid BP measurements and IV insertions in the arm with the fistula, palpate pulses above it to ensure proper blood flow, and report any bruit or thrill immediately to the physician.
Step-by-step explanation:
Prevention of Complications with Internal Arteriovenous Fistulas
To prevent possible complications associated with an internal arteriovenous fistula in a 30-year-old patient undergoing hemodialysis, certain precautions must be taken. Most importantly, avoid taking blood pressure (BP) measurements or inserting intravenous (IV) lines in the arm where the fistula is located, as this can cause damage and lead to additional complications. When monitoring for potential issues, it is also essential to report a bruit or thrill over the fistula immediately to the doctor, as these can be signs of a problem with the fistula's function. Additionally, it is crucial to palpate pulses above the fistula to ensure good blood flow.
To summarize, to prevent complications with an AV fistula:
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- Avoid measuring BP on the arm with the fistula.
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- Do not place IV lines in the arm with the fistula.
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- Palpate pulses proximal to the fistula to check for adequate blood flow.
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- Report any signs of bruit or thrill over the fistula to the physician.
To prevent complications with an internal arteriovenous fistula, do not take blood pressures or insert IV lines in the arm with the fistula, palpate pulses above it, and report any signs of bruit or thrill to the doctor.