Physical examination: how to examine the arm with arteriovenous fistula.

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Physical examination: how to examine the arm with arteriovenous fistula.

Hemodial Int. 2013 Apr;17(2):300-6

Authors: Sousa CN, Apóstolo JL, Figueiredo MH, Martins MM, Dias VF

Abstract
Physical examination has demonstrated its effectiveness in identifying complications of arteriovenous fistula (AVF). It should be initiated at the stage prior to the construction of the AVF and continue in its accomplishment, maturation, and subsequent use in the treatment of hemodialysis. Nurses should incorporate the physical examination in their practices, in order to preserve the vascular net of patients and assist in the recognition of complications of AVF. It is intended to describe aspects of the physical examination that enable the identification of the AVF complications including: infection, accessory veins, venous stenosis, steal syndrome, high-output cardiac failure, and venous hypertension.

PMID: 22702537 [PubMed - indexed for MEDLINE]

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