long-term-hemodialysis-catheter | Singapore General Hospital

A long-term hemodialysis catheter is a medical device used to provide temporary access for patients undergoing hemodialysis treatment. Hemodialysis is a medical procedure that helps filter and cleanse the blood for individuals who have chronic kidney failure (CKD) and other kidney-related diseases.

The long-term hemodialysis catheter serves as a conduit to connect the patient's bloodstream to the hemodialysis machine, allowing blood to be drawn from the body, filtered through the machine, and then returned to the body.

Living with a CKD can present unique challenges, but armed with the right knowledge and strategies, you can ensure a smooth journey on the road to better health.

In this article, we'll explore six essential aspects of caring for your long-term hemodialysis catheter to help you maintain your well-being and make the most of your treatment.

1. Activity and Rehabilitation

While undergoing hemodialysis, avoid scratching or pulling at the catheter. The catheter should be taped to the skin. Stay awake during the procedure to avoid any unexpected accidents.

Consult your healthcare team to develop a safe and effective exercise plan that supports your energy levels and helps maintain your strength. Gentle activities like walking or light stretching can promote circulation without putting undue stress on your catheter.

2. Nutrition and Diet

A balanced diet is crucial for supporting your body's healing and dialysis treatment effectiveness. Work with your doctor to create a meal plan that meets your nutritional needs while considering any dietary restrictions related to your condition.

Proper nutrition can aid in managing fluid and electrolyte balance, which is vital for optimal kidney function.

Adhere to low salt diet and follow your doctor's advice if prescribed. Restrict your fluid intake from 500mls to 800mls per day.

3. Safe and Effective Use of Medication

Take medication as prescribed by your doctor.

Where antibiotics are required, ensure your complete the whole course.

4. Wound and Catheter Care

Maintaining the health of your catheter exit site is crucial in preventing infections. Follow your healthcare team's guidelines for proper wound and catheter care. Keep the exit site clean, change dressings as recommended, and report any signs of infection, such as redness, swelling, or discharge, promptly.

Here are some ways you can do so:

Keep catheter site and dressing clean and dry at all times
Do not change the dressing by yourself as this will be done by our staff at the dialysis centre
If you accidentally soil/ wet the dressing, go to a nearby polyclinic or GP to change it
Ensure catheter is properly secured to skin with tape
Consult Dialysis staff immediately if bleeding occurs or catheter slips out
Bathe from nipple line downward
Before a shower or washing hair, ensure catheter is well covered with waterproof plastic bag taped securely to the skin

5. When and How to Seek Further Treatment

Regular check-ups with your healthcare provider are essential to monitor the condition of your catheter and overall health. Be proactive in scheduling and attending appointments.

Additionally, if you notice any unusual symptoms, such as fever, bleeding, chills, increased pain, or changes in catheter function, don't hesitate to reach out to us. Early intervention can prevent complications.

6. When the Catheter Is Blocked...

A blocked catheter can hinder the effectiveness of your hemodialysis treatment. So, please notify our team immediately if the catheter is blocked. They can guide you through measures to clear the blockage or arrange for appropriate interventions, ensuring uninterrupted treatment.

Living with a long-term hemodialysis catheter demands attention to detail and a proactive approach to self-care. By incorporating these strategies into your daily routine and maintaining open communication with your healthcare team, you can effectively manage your condition, optimize your treatment experience, and work towards a healthier future.

Keep these tips handy by downloading a copy for further reading:

Guide to Long-term Hemodialysis Catheter.pdf