Vascular access for hemodialysis: Caring for your child after the procedureVVascular access for hemodialysis: Caring for your child after the procedureVascular access for hemodialysis: Caring for your child after the procedureEnglishNephrologyChild (0-12 years);Teen (13-18 years)ArmArteries;VeinsNon-drug treatmentCaregivers Adult (19+)NA2011-11-30T05:00:00ZMaria Di Mola, RN7.0000000000000070.0000000000000703.000000000000Health (A-Z) - ProcedureHealth A-Z<p>The following information will help you to properly care for your child after vascular access surgery.</p><p>Your child has had a procedure to improve <a href="/Article?contentid=1034&language=English">vascular access</a> for hemodialysis. This brochure explains how to care for your child at home after the procedure, and when to call for help.</p> <h2>When can my child go home?</h2> <ul> <li>Your child can go home on the same day as the surgery. </li> </ul><h2>Key points</h2> <ul> <li>You can remove your child's bandage after 48 hours. Wash the area with mild soap and water and then pat dry.</li> <li>Listen for the "bruit" or feel for the "thrill" in your child's fistula or graft four times a day (first thing in the morning and the last thing at night).</li> <li>Your child should keep their arm up when resting to reduce swelling. </li> <li>If your child is showing signs of infection or thrombosis call your doctor right away or take your child to the nearest emergency department.</li> </ul><h2>Possible complications of AV fistula and AV graft</h2> <h3>Two major complications are possible:</h3> <ul> <li>infection</li> <li>thrombosis (clotting of fistula or graft)</li> </ul> <h3>Signs of infection</h3> <ul> <li>warm painful area over your child's access site</li> <li>redness and swelling over your child's access site</li> <li>fever of more than 38.0°C (100.4°F)</li> </ul> <h3>Signs of thrombosis</h3> <ul> <li>no "bruit" or sound over your child's access site</li> <li>painful, hard welling over your child's access site</li> </ul><h2>When to seek help</h2> <p>Call the hospital immediately if you think your child is suffering from an infection or thrombosis. </p> <p>Nephrologist (on call): (416) 813-7500</p> <p>Hemodialysis unit: (416) 813-7653</p> <h3>After hours:</h3> <p>Go to the nearest Emergency Department.</p><h2>At SickKids</h2> <h3>Pain Medication </h3> <p>Before you leave, we will give your child a prescription for _____________________________. If your child has an allergy to this medication, we will provide them with a different prescription. Most people need medication for only a few days.</p> <h3>Other Medications</h3> <p>If your child stopped taking their blood thinning medication before the surgery, please speak to a doctor about restarting this medication before leaving the hospital.</p>
Accès vasculaire en cas d’hémodialyse : prendre soin de votre enfant après l’opérationAAccès vasculaire en cas d’hémodialyse : prendre soin de votre enfant après l’opérationVascular Access for Hemodialysis Caring for Your Child After the ProcedureFrenchNephrologyChild (0-12 years);Teen (13-18 years)ArmArteries;VeinsNon-drug treatmentCaregivers Adult (19+)NA2011-11-30T05:00:00ZMaria Di Mola, RNHealth (A-Z) - ProcedureHealth A-Z<p>Les renseignements suivants vous aideront à prendre soin de votre enfant après qu’il a subi un accès vasculaire.</p><p>Après l’opération, votre enfant portera un bandage sur le bras. Gardez-le au sec pendant 48 heures.</p><h2>À retenir</h2><h2>Complications possibles de la fistule ou de la greffe artérioveineuse</h2><h3>Il existe deux complications principales :</h3><ul><li>Infection</li><li>Thrombose (caillot bloquant la fistule ou la greffe)</li></ul><h3>Symptômes d’une infection</h3><ul><li>Sensation de chaleur et de douleur dans la région de l’incision</li><li>Rougeur et enflure de la région de l’incision</li><li>Fièvre dépassant 38 °C (100,4 °F)</li></ul><h3>Symptômes d’une thrombose</h3><ul><li>Absence de souffle ou de tout autre son dans la région de l’incision</li><li>Durcissement et gonflement douloureux dans la région de l’incision</li></ul><h2>Quand demander de l’aide</h2><p>Appelez immédiatement l’hôpital si vous croyez que votre enfant souffre d’une infection ou d’une thrombose.</p><p>Néphrologue (sur appel) : 416 813‑7500</p><p>Département d’hémodialyse : 416 813‑7653</p><h3>En dehors des heures normales :</h3><p>Rendez-vous au service des urgences le plus proche. </p><h2>À l’hôpital SickKids </h2><h3>Analgésiques</h3><p>Avant de vous donner congé, nous délivrerons une ordonnance de/d’_____________________________ pour votre enfant. S’il est allergique à ce médicament, nous lui prescrirons un autre médicament. La plupart des patients doivent prendre un analgésique pendant quelques jours seulement.</p><h3>Autres médicaments</h3><p>Si votre enfant a arrêté de prendre son anticoagulant avant l’opération, veuillez discuter avec un médecin de la possibilité qu’il se remette à en prendre avant de retourner chez lui.</p>

 

 

Vascular access for hemodialysis: Caring for your child after the procedure1245.00000000000Vascular access for hemodialysis: Caring for your child after the procedureVascular access for hemodialysis: Caring for your child after the procedureVEnglishNephrologyChild (0-12 years);Teen (13-18 years)ArmArteries;VeinsNon-drug treatmentCaregivers Adult (19+)NA2011-11-30T05:00:00ZMaria Di Mola, RN7.0000000000000070.0000000000000703.000000000000Health (A-Z) - ProcedureHealth A-Z<p>The following information will help you to properly care for your child after vascular access surgery.</p><p>Your child has had a procedure to improve <a href="/Article?contentid=1034&language=English">vascular access</a> for hemodialysis. This brochure explains how to care for your child at home after the procedure, and when to call for help.</p> <h2>When can my child go home?</h2> <ul> <li>Your child can go home on the same day as the surgery. </li> </ul><h2>Key points</h2> <ul> <li>You can remove your child's bandage after 48 hours. Wash the area with mild soap and water and then pat dry.</li> <li>Listen for the "bruit" or feel for the "thrill" in your child's fistula or graft four times a day (first thing in the morning and the last thing at night).</li> <li>Your child should keep their arm up when resting to reduce swelling. </li> <li>If your child is showing signs of infection or thrombosis call your doctor right away or take your child to the nearest emergency department.</li> </ul><h2>Possible complications of AV fistula and AV graft</h2> <h3>Two major complications are possible:</h3> <ul> <li>infection</li> <li>thrombosis (clotting of fistula or graft)</li> </ul> <h3>Signs of infection</h3> <ul> <li>warm painful area over your child's access site</li> <li>redness and swelling over your child's access site</li> <li>fever of more than 38.0°C (100.4°F)</li> </ul> <h3>Signs of thrombosis</h3> <ul> <li>no "bruit" or sound over your child's access site</li> <li>painful, hard welling over your child's access site</li> </ul><h2>Taking care of your child's vascular access</h2> <ul> <li>After surgery, your child will have a bandage on their arm. Keep it dry for 48 hours after the surgery.</li> <li>After 48 hours, remove the bandage and wash the area with mild soap and water. Gently pat this area dry with a towel. If there are small pieces of white tape under the bandage, leave them in place for one week or until they fall off.</li> <li>After the bandage is removed, the incision may ooze clear fluid. If this happens, cover the incision with clean, dry gauze. Change the gauze every day.</li> <li>Your child's surgeon may use Steri-Strips, staples or dissolvable sutures (stitches) to close your child's incision.</li> </ul> <h2>Steri-Strips, staples or sutures</h2> <h3>Steri-Strips</h3> <p>Leave Steri-Strips on until they fall off on their own. This usually this happens four to seven days after the surgery.</p> <h3>Staples</h3> <p>Staples can be taken out 10 to 14 days after the surgery.</p> <h3>Dissolvable sutures</h3> <p>Leave dissolvable sutures alone. They will dissolve on their own within 10 days. </p> <h2>Caring for your child's fistula or graft</h2> <h3>DO:</h3> <ul> <li>Keep the line of stitches on your child's fistula or graft clean and dry until the wound edges have sealed (approx. 48 hrs.).</li> <li>Notify your child's doctor or dialysis unit immediately if the fistula or graft is red, tender or painful.</li> <li>Encourage your child to drink fluids within their fluid allowance (to prevent dehydration).</li> <li>Encourage your child to keep their arm up when resting to reduce swelling. This can be done by placing your child's arm on a pillow at the same level as their heart.</li> <li>notify your child's doctor immediately if the access site bulges more than usual or your child experiences low blood pressure, dizziness or lightheadedness.</li> <li>listen for the "bruit" or feel for the "thrill" in your child's fistula or graft four times a day (first thing in the morning and the last thing at night).</li> </ul> <h3>DON'T:</h3> <ul> <li>allow your child's arm with the fistula or graft to be injured.</li> <li>allow your child's blood pressure to be taken on that arm.</li> <li>allow blood to be taken from that arm </li> <li>allow an intravenous line to be started in that arm.</li> <li>allow your child to carry heavy items using that arm.</li> <li>allow your child to sleep on that arm.</li> <li>allow your child to wear a watch or bracelet on that arm.</li> <li>allow your child to wear tight sleeves.</li> <li>allow your child to pick any scab formations on that arm.</li> </ul><h2>When to seek help</h2> <p>Call the hospital immediately if you think your child is suffering from an infection or thrombosis. </p> <p>Nephrologist (on call): (416) 813-7500</p> <p>Hemodialysis unit: (416) 813-7653</p> <h3>After hours:</h3> <p>Go to the nearest Emergency Department.</p><h2>At SickKids</h2> <h3>Pain Medication </h3> <p>Before you leave, we will give your child a prescription for _____________________________. If your child has an allergy to this medication, we will provide them with a different prescription. Most people need medication for only a few days.</p> <h3>Other Medications</h3> <p>If your child stopped taking their blood thinning medication before the surgery, please speak to a doctor about restarting this medication before leaving the hospital.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/vascular_access_hemodialysis_caring_for_child_at_home.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/vascular_access_hemodialysis_caring_for_child_at_home.jpgVascular access for hemodialysis: Caring for your child after the procedure

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