bleeding at site before pulling needle

[sullidog]

Yesterday my artial started bleeding even before they pulled the needle, what could of caused this? Also this same site they pulled two clots from as they were putting me on. I asked why this happened and they said they did not know.
Troy

[wrenchturningredneck10]

I had a similar experience this morning, in that one of my needles leaked down my arm, the tech told me it was from moving around....don't know about that, but who knows.  Leakage like that doesn't happen often with me, and when it does, the techs don't seem to worry....but I think some of them are not quite as knowledgable as I would like!!

Clots.....I've had a couple clots form in the lines close to the dialyzer, and in that instance, they raised my Heparin dose slightly.  Might want to ask the tech/charge nurse about it, if you have a good one you trust. 

[romanyscarlett]

I used to have a big problem with my blood clotting when they put the needles in. I was told it was probably because I was "dry" so when a solid entity was introduced into my bloodstream, the blood will instantly clotted around it.

It occurred before connection to the dialysis machine so at that point there was no Heparin in my system.

I've nearly got this under control by drinking more on dialysis days. I don't have any fluid restrictions so this has been easy to do but I'm not sure what you could do if you have strict fluid intake levels.

[BigSky]

Sites can have clots and leak if there is backpressure because of narrowing somewhere in the access vein.

If it keeps happening on a regular basis and kt/v drops then that might be the problem.

[Tracy]

I've had blood dripping out of my sites as I sit there too.  The techs told me it was because they stuck me in a hole that has gotten too big and that next time they would stick me in a new place.  They don't seem too reactive to it either. 

Tracy

[wrenchturningredneck10]

Mine didn't seem too react too strongly, either.  FWIW, when they did my labs last week, they also did an access flow test, and my result was exactly what they like to see, so my access seems fine...

[greg10]

Sites can have clots and leak if there is backpressure because of narrowing somewhere in the access vein.

If it keeps happening on a regular basis and kt/v drops then that might be the problem.

+1 BigSky knows dialysis.

Last Friday: leak around  needle in the venous access near the end of dialysis.
Tuesday: hard to stop bleeding after dialysis even though heparin was reduced.
Wed: access completely clotted, unable to do dialysis.
Thurs: treatment with tPA thrombolytic agent to declot; fistulagram showed occulsion distal to access site.
Fri: dialysis treatment ok; how long the access could remain open is unknown.