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Management
Hemodialysis
HemodialysisDialysis is needed when your kidneys start to fail and can no longer clean waste and excess fluid from your blood,which can lead to high blood pressure and heart failure. Hemodialysis is the most common type of dialysis.During hemodialysis, blood is taken out of your body and goes through an artificial kidney machine, where toxinsand extra fluids are filtered out. Then the clean blood is returned back to your body.There are 3 ways that your blood might be accessed during hemodialysis:• Through an AV fistula, which is a direct connection made between a vein and an artery, usually in your arm. Twoneedles are placed in your fistula, the first to send the blood to the dialyzer and the second to return the clean bloodto the body.• With a graft, a soft plastic tube is placed beneath the skin linking an artery and a vein, usually when your bloodvessels are not able to form a fistula. Or,• Through a catheter, or tube, which is inserted directly into a large vein, usually in the neck or chest.“That filter is basically taking all the bad things out of your body, keeping the good things and removing all thatextra fluid that you drink in between your dialysis sessions. It’s a continuous process that requires several hoursof treatment in order to fully clean your blood.” – Dr. Aaron Dall, Nephrologist/Kidney SpecialistRogelio Garcia started hemodialysis in 2009 after being diagnosed with end stage renal disease.“It’s a lifestyle change definitely. But once you become accustomed to it it’s like everyday business. You don’teven think twice about it.” – Rogelio, PatientTypically, hemodialysis patients visit the dialysis clinic three times a week, every week, for about four hours at atime. You pick a timeframe that works for you, during the day or even at night, but it’s still a big adjustment.Patients, like Venus Dickinson, have to rearrange their lives for dialysis.Even though it is a big adjustment, patients, like Venus Dickinson, know that dialysis is important for their kidneysand their overall health…“At first it was kind of rough, but then I just made a mind choice and prayed about it. It saved my life because Iput it in my everyday life. I work fulltime and I just go to work and I go to dialysis and I go to church and I try tokeep a normal life.” – Venus, PatientWhen you arrive for hemodialysis, you’ll weigh yourself… then wash your fistula or graft area. The nurse or patientcare technician will then take your blood pressure and attach you to the machine.Page 1 of 2This program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness,or suitability of this video for medical decision making. For all health related issues please contact your healthcare provider.HCRN1001698 EN Hemodialysis.pdf© The Wellness NetworkHemodialysis“A lot of patients find out that this is very manageable and if you put your time and effort into it as well aswe will, it doesn’t defeat you and you know you can still live your life.”- Justin Martin, Dialysis Patient Care TechnicianMost often hemodialysis is done in a clinic, usually during waking hours, but you may have the option to do itovernight, while you sleep. Less common is hemodialysis that is done at home. Your health care team will helpyou decide which approach is best for you.“Oftentimes I want to know are they interested in still working? Do they have a lot of activities throughoutthe day that they might need to continue to do or want to do? Are they avid swimmers or do they haveother hobbies that they enjoy that would make me think that one dialysis modality or method is better thananother method? Oftentimes it really comes down to the patient’s preference.”– Dr. Aaron Dall, Nephrologist/Kidney SpecialistIf you have questions about hemodialysis and how it can help you, talk to your healthcare provider.“There’s a lot of support out there. There’s a lot of education out there.” – Rogelio, Patient“This is your life. If you don’t take control of it, it’s up to you. It’s really up to you to take it to heart.”- Venus, PatientPage 2 of 2This program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness,or suitability of this video for medical decision making. For all health related issues please contact your healthcare provider.HCRN1001698 EN Hemodialysis.pdf© The Wellness Network
Heart & Vascular Center
Learn helpful everyday tips to ensure your central venous catheter stays clean, infection free, and in good working order.
Watch this clip and understand the proper way in which your AV graft will be accessed by your healthcare provider for your hemodialysis session.
Watch this clip and learn how to properly care for your AV graft to ensure it is kept infection-free and in good working order.
Learn what you and your family members need to do and care for in order to keep your implanted access port working well and complication-free.
