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Author Topic: Please help...new to fistula  (Read 1508 times)
dpatnfl
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« on: September 27, 2011, 08:32:57 AM »

Mom just started using fistula for the first time last week, one needle.  Monday they put in the second needle, flow at 200 , normally  should be 400ish, which is what they are working up to.  She was fine until the last 15 minutes of dialysis, when her hand started hurting and she had to be removed because of the pain.  They told her to talk to her doctor, which we are waiting to hear from this morning.  What is causing this? 
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monrein
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Might as well smile

« Reply #1 on: September 27, 2011, 12:42:09 PM »

Could have been the needle resting on a nerve ending during D, or rubbing on the inside of the vein.  It's also possible to get pain in the arm if it's been held straight out and in one position the whole time.  At first we can be quite tense and take the warning about not moving the arm so literally that it can produce pain....this is especially true if the site is near the bend in the elbow.
 
Hope this gets better and stops happening.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
sullidog
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« Reply #2 on: September 27, 2011, 06:22:00 PM »

Could also be too much blood pulling away from the hand (steal syndrome) was it cold as well or num?
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
lmunchkin
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"There Is No Place Like Home!"

« Reply #3 on: September 27, 2011, 08:12:39 PM »

Hubby got pains in his too and the steal syndrome!  Unless it is excruciating, it could be the norm.  Not unusual to feel discomfort sometimes.  But still check with doc. or mention to clinic nurse.  It being a new fistula, it is maturing!  Just allow time for it to fully develope.

Hope things get better for your mother!

lmunchkin

 :kickstart;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
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