Hemodialysis in diabetic nephropathy

Diabetic nephropathy dialysis care is like? First of all, we should simply look at diabetic nephropathy. Diabetic nephropathy is due to hardening of the arteries, poor flexibility, more difficult to establish hemodialysis access road, easy bleeding of the puncture point, the lack of blood flow, usually with deep vein indwelling double lumen catheter dialysis, the better. For the care of diabetic nephropathy on hemodialysis details are as follows:
1, observe local or without edema, touch vascular tremor, listen to the vascular murmur, abnormal timely report to physicians.
Fistula only dialysis of dialysis care: the use of prohibited transfusion, blood, blood pressure, heavy lifting, the end of dialysis 24h after the puncture with a hot towel wet compress, strengthen the exercise of arm function, so that the filling of blood vessels to dilate .
3, the end of dialysis care: Due to the high pressure of arterial blood vessel, the end of dialysis, when handled properly, hematoma, a direct impact on the next dialysis and vascular fistula life. Completion of dialysis, the pin was removed quickly with sterile gauze press the proper compression of the time and pressure to the blood only after, cover with sterile gauze, tape can be fixed.
4. Dialysis to prevent thrombus formation, is also an important factor in further trigger coagulation.
5, strict aseptic technique, to improve the success rate of puncture. Early fistula infection and surgery related to post-infection is often associated with the contamination of the puncture site. Fistula infection make the loss of function, severe cases lead to sepsis, dialysis major cause of death, to be dealt with immediately. Vascular puncture requirements sharply, rope ladder method puncture to reduce the scar of skin and blood vessel wall, vascular occlusion and fewer opportunities.
6, pay attention to observe the surgical site blood flow is smooth, the bandage dressing is too tight, the timely replacement of the dressing, the elevation of the surgical limb, to prevent the occurrence of peripheral edema. 6 to 8 weeks after fistula surgery until the venous blood vessels to dilate, wall thickening before; premature use often shorten fistula life.
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