arterio-venous-fistula | Singapore General Hospital

An arterio-venous fistula (AVF) is a lifeline for individuals undergoing hemodialysis to treat chronic kidney disease, offering a durable and efficient access point to cleanse the blood. Proper care and attention are essential to maintain the health and functionality of your AVF.

In this article, we'll delve into five vital aspects of AVF care, ensuring you're equipped with the knowledge to support its longevity and your overall well-being.

1. Activity and Rehabilitation

During treatment, dress appropriately to allow easy access to the arm and keep it elevated with pillows to reduce swelling. Speak to your physician and staff-on-duty about preparing your skin before the needling.

Exercise the AVF arm after 1 week by squeezing a rubber stress ball for 5 minutes up to 4 times a day.

Avoid:

Carrying heavy items
Using the AVF arm for hemodialysis till after the treatment is complete unless instructed otherwise

2. Nutrition and Diet

Nourishing your body with the right nutrients plays a pivotal role in AVF health. Speak to our team to design a diet that supports your AVF function and complements your hemodialysis treatment.

Adequate protein intake, along with balanced fluid and electrolyte management, can contribute to your AVF's optimal performance.

3. Safe and Effective Use of Medication

Abide closely by your doctor's instructions for medication.

If you're on other medications in addition to your hemodialysis regimen, ensure that you communicate openly with your healthcare team.

4. Wound and Catheter Care

Maintaining meticulous care of your AVF's access site is paramount. Keep the site clean, dry, and free from irritation.

Follow your healthcare team's instructions on changing dressings and monitoring for signs of infection or complications. Any unusual symptoms, such as redness, swelling, or pain around the access site, should be reported to your healthcare provider promptly.

After the wound has healed, you may wash the AV arm with soap and water.

Everyday, feel the AVF site for a rumbling "thrill" sensation that signifies healthy blood flow.

5. When and How to Seek Further Treatment

Regular follow-up appointments with your healthcare provider are crucial for monitoring the health of your AVF. Any changes in your AVF's function, appearance, or sensation should be reported promptly.

Should you notice reduced blood flow (absence of "thrill" sensation), fever, clotting, or other unusual symptoms, reach out to your healthcare team immediately. Early intervention can prevent potential complications and ensure continued access for successful hemodialysis.

Caring for your AVF demands diligence, commitment, and collaboration with your healthcare team. By incorporating these care strategies into your daily routine, you can ensure the longevity and efficiency of your AVF, allowing you to experience the benefits of hemodialysis with confidence.

Remember, your healthcare providers are your allies on this journey, ready to guide and support you in optimizing your AVF's health and your overall well-being. So, feel free to reach out if you need any assistance with your AVF.

Otherwise, do keep these tips in mind by downloading a copy of them: