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Author Topic: holding one needle site at a time, is it ok?  (Read 2988 times)
sullidog
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« on: November 18, 2012, 06:07:49 PM »

I'm a person who is only able  do to the strength in my hands can only hold one site at a time after the needles are pulled, otherwise I will make a mess and I don't use clamps because I'm afraid they will clot my graft, however there was a nurse at our clinick who told me and I've also seen it somewhere online (can't remember where) that holding one site while a needle is still in the graft could damage the graft, but I've also read where this is ok. For me this can't be avoided unless the techs hold it for me, and usually they are busy and can't, and like I said I don't like clamps. What is your take on this?
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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
Riki
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« Reply #1 on: November 18, 2012, 07:22:26 PM »

it's how those on home hemo do it.. they can't hold one site and take the needle out of the other site at the same time.. unless they happen to have 3 hands.. *L*
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
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MightyMike
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« Reply #2 on: November 19, 2012, 07:09:12 AM »

I have a fistula and if I was told holding both at the same time it would cause a clot.  Think about it if you hold both at the same time where can the blood between the two holes go?  No where so the space between would cause the blood to stay till you release which can cause large clots.  It made sense when my clinic explained it to me.  This is why I only ever hold one at a time and never ever use clamps unless physically unable.  Best wishes.
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"The greatest pleasure in life is doing what people say you cannot do."
   -Walter Bagehot
==========================
December 2003 diagnosed with IgA Nephropathy 80% Function.
October 2004 started In-Center Hemo Dialysis Perma-Cath 5% Function.
September 2005 Living Related Donor (Mother) Transplant.
March 2009 Diagnosed CKD and IgA Nephropathy.
August 2009 Upper Left Arm Fistula.
November 2009 started In-Center Hemo Dialysis.
December 2010 started Home Hemo Dialysis.
January 2012 went back to In-Center Hemo Dialysis.
Rerun
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« Reply #3 on: November 19, 2012, 08:52:20 AM »

I have held one at a time when I've had a surgery and don't have the strength to hold both.  I just hold one for 10 minutes and then hold the other for 10 minutes.  I think it is fine.
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Desert Dancer
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« Reply #4 on: November 19, 2012, 11:34:27 AM »

Like Riki said, if you do home hemo it's the only way you can do it. Theoretically (if Andy were home) he could pull the arterial while I hold my venous, but since I only have to hold for about a minute on each site it wouldn't save me more than 30 seconds anyway.
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August 1980: Diagnosed with Familial Juvenile Hyperurecemic Nephropathy (FJHN)
8.22.10:   Began dialysis through central venous catheter
8.25.10:   AV fistula created
9.28.10:   Began training for Home Nocturnal Hemodialysis on a Fresenius Baby K
10.21.10: Began creating buttonholes with 15ga needles
11.13.10: Our first nocturnal home treatment!

Good health is just the slowest possible rate at which you can die.

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noahvale
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« Reply #5 on: November 19, 2012, 01:04:13 PM »

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« Last Edit: September 21, 2015, 09:39:59 PM by noahvale » Logged
sullidog
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« Reply #6 on: November 19, 2012, 07:31:37 PM »

I don't really like other people holding my sites either because I find they tend to put too much pressure on the access.
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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
Riki
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« Reply #7 on: November 20, 2012, 12:25:42 PM »

The centre that I go to doesn't have enough staff to have someone else hold the sites, so I've always done it myself.. I never used clamps because my arm is an odd shape and the other end of the clamp would dig into my arm.
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
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MommyChick
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« Reply #8 on: November 21, 2012, 08:59:48 PM »

I never use clamps, I always hold my own sites.
At my clinic were only allowed to hold one site at a time, until its done bleeding. I've never had an issues with it & my fistula is still going strong  :2thumbsup;
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~ Hello All, My names Marna ~

- 1995 - 12 yrs old found out my kidneys were both failing
- 1996 - Dec. 3 I received my 1st kidney transplant at age 13, after 7/mths on the waiting list
- 2005 - In Aug. transplant failed after 9.5 years, had to have a nephrectomy due to being very ill & massive hypertension
           - End of Aug. 1st time on dialysis
- 2006 - Had my fistula placed & ready to go
- 2010 - My little Miracle was born 6/mths into the pregnancy, weighing 2.4 lbs & 13.25 in long
          - Found out my PRA is 100% & I have antibodies that CAN'T be decreased
- 2013 - Oct. 2nd  *** I finally received my kidney!!! ***
          - Dec. 3rd I had 3.5 parathyroids removed, due to them interfering w/my new kidney.
jbeany
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« Reply #9 on: November 21, 2012, 09:28:37 PM »

I couldn't hold both at the same time either.  I bleed for a really long time, so the nurses tended to grumble on the days I was having problems with getting them to stop (sometimes I was there for 45 minutes), but there's no reason you have to hold both.
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