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CCHT_8o8
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I suffer from CSI (C.ant S.tand I.gnorance)
« on: February 02, 2008, 04:43:53 PM »
Just curious... what do you folks think about clamps for the puncture sites post dialysis?  Do they help?  What about betadine (iodine) on the puncture sites to help stop bleeding?  What do you folks use to help stop bleeding besides holding it down til you get cramps in your hands? 

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kitkatz
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« Reply #1 on: February 02, 2008, 05:04:40 PM »
My surgeon said no clamps, no taping tape all the way around the arm on my graft.
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BobT1939
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« Reply #2 on: February 02, 2008, 07:19:42 PM »
I hold both sites for 10 minutes, tape approx. 130 degrees around arm (graft)./bobt
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« Reply #3 on: February 02, 2008, 08:07:05 PM »
Clamps are bad news.  The person holding should be able to feel the blood pulsing thru the access even while holding.  It should be enough pressure to stop the blood flow from the needle site, but not enough to stop the blood flowing thru the access.  Clamps won't do that - they can stop the flow completely and muck up your access beyond repair.
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Joe Paul
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« Reply #4 on: February 03, 2008, 04:40:10 AM »
It must depend on the fistula - I been using clamps for close to 2 years now, along with tape over the gauze and have had no problems.
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boxman55
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« Reply #5 on: February 03, 2008, 06:10:10 AM »
I have been told that clamps are not the best for you. My clinic puts a sureseal over the pulled needle site with a piece of gauze over that. I then finger hold the site for 5 minutes or so then replace the gauze with new stuff and put (1) large piece of medapor tape over the entire area...Box
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kimcanada
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« Reply #6 on: February 03, 2008, 06:48:16 AM »
My unit doesn't believe in clamps, I hold my sites for 10 min. with paper tape , I have a reaction to anything that isn't paper.   There is a lady next to me that can't hold her sites because they are to close and the nurse holds them for 15 mins.
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del
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« Reply #7 on: February 03, 2008, 07:55:43 AM »
Hubby was told never to use a clamp on his fistula because it could damage it. Also told never to have the taping too tight.  he can only use paper tape as well the other is like it burns his arm.
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NVRWKN
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« Reply #8 on: February 03, 2008, 09:43:27 AM »
I hold for 8 to 10 mins. and then tape. Never have used clamps. I'm sure every unit has there own system.
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KR Cincy
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« Reply #9 on: February 03, 2008, 12:34:53 PM »
No clamps here either...they wouldn't even give me a clamp for our home set-up. I hold each site for 5 minutes then slap on a band aid. If i get a few days in a row when it takes longer than 5 minutes, then it may be time for a trip to the access center!
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bolta72
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« Reply #10 on: February 03, 2008, 02:13:48 PM »
No clamps.. no no no.
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petey
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« Reply #11 on: February 03, 2008, 04:31:51 PM »
Marvin's surgeon said NO, NO, NO, NEVER, NEVER, NEVER to clamps.  His in-center clinic used them on the other patients -- but not on Marvin.

He holds for ten-fifteen minutes and then a band-aid on both sites.  If his hand gets tired of holding, I hold.

He can only use paper tape, too!  The others rip his skin off.
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terry3004
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« Reply #12 on: February 04, 2008, 05:13:01 AM »
I have never used clamps on my fistula.  I have always held, but have normally been a quick clotter...usually one to two minutes.

When I was in-center, I would have a band-aid with gauze on top, taped down to me.  Either kind of tape works for me.

Now, at home on NxStage, I use gauze to put extra pressure on the band-aid when I pull my needle out, but no tape post-treatment anymore.
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Become a living organ donor...you never know who's life you're going to save!

Married to my wonderful wife 4/2005
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PD Catheter Changed 4/2006
PD Catheter removed & Perma-Cath placed 5/2006
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CW
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« Reply #13 on: February 04, 2008, 12:23:30 PM »
For my 9 year old a/v fistula I hold for ten minutes with band-aid's and gauze plus tape and only use clamps very infrequently (once in recent times) when hand is cramping or I have to engage in something that requires both hands immediately after take off.
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mmmmdeedee
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« Reply #14 on: February 04, 2008, 01:19:02 PM »
When on Hemo I also just hend for about 10 minutes. If I was having a problem with clotting, the nurses actually put tea bags on the site with tape holding it down. (Tea bags have tanins which constrict the blood vessels.)
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1st on dialysis: 1986
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CCHT_8o8
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« Reply #15 on: February 05, 2008, 06:24:41 PM »
Quote from: mmmmdeedee on February 04, 2008, 01:19:02 PM
When on Hemo I also just hend for about 10 minutes. If I was having a problem with clotting, the nurses actually put tea bags on the site with tape holding it down. (Tea bags have tanins which constrict the blood vessels.)

What kind of tea bags?  That sounds interesting!  Please explain :)  Thanks!
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okarol
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« Reply #16 on: February 05, 2008, 11:24:25 PM »
Quote from: CCHT_8o8 on February 05, 2008, 06:24:41 PM
Quote from: mmmmdeedee on February 04, 2008, 01:19:02 PM
When on Hemo I also just hend for about 10 minutes. If I was having a problem with clotting, the nurses actually put tea bags on the site with tape holding it down. (Tea bags have tanins which constrict the blood vessels.)

What kind of tea bags?  That sounds interesting!  Please explain :)  Thanks!

I have heard that a tea bag can help stop the bleeding when a tooth is pulled. Here's more info http://www.ehow.com/how_2146429_use-tea-bags-healing.html?ref=fuel
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