Caring for your fistula when you have CKD

This is for informational purposes only. For medical advice or diagnosis, consult a professional.

Caring for a fistula when you have chronic kidney disease (CKD) is crucial for maintaining its function and preventing complications. Here's a comprehensive guide on what's required, how to ensure it keeps working well, and the do's and don'ts when you have a fistula in your arm:

What is a fistula?

A fistula is a surgically created connection between an artery and a vein, usually in your arm. It's done to make it easier to access your bloodstream for hemodialysis, a treatment that filters your blood when your kidneys can no longer do it effectively.

Caring for your fistula:

1. Keep it clean:

• Wash your fistula arm daily with soap and water, especially before each dialysis treatment.
• Avoid using lotions or creams on your fistula arm unless prescribed by your doctor.
• Keep the needle sites clean and dry after dialysis.

2. Protect it from injury:

• Avoid wearing tight clothing or jewelry on your fistula arm.
• Don't carry heavy objects or bags on your fistula arm.
• Be careful not to bump or injure your fistula arm.

3. Monitor it regularly:

• Check your fistula daily for any signs of infection, such as redness, swelling, pain, or drainage.
• Feel for a "thrill" – a vibration or pulse – in your fistula. This indicates good blood flow.
• If you notice any changes in your fistula, such as decreased thrill, pain, or swelling, contact your doctor immediately.

4. Exercise your arm:

• Squeeze a soft ball or handgrip regularly to help strengthen your fistula and improve blood flow.
• Consult your doctor or dialysis nurse for specific exercises that are right for you.

Do's and don'ts:

Do:

• Keep your fistula clean and dry.
• Protect your fistula from injury.
• Monitor your fistula regularly for any changes.
• Exercise your arm to strengthen your fistula.
• Inform healthcare providers about your fistula before any procedures.

Don't:

• Allow anyone to take blood pressure or draw blood from your fistula arm.
• Wear tight clothing or jewelry on your fistula arm.
• Carry heavy objects or bags on your fistula arm.
• Sleep on your fistula arm.
• Use lotions or creams on your fistula arm unless prescribed by your doctor.
• Pick at scabs or sores on your fistula.

Ensuring your fistula keeps working well:

• Follow your doctor's instructions carefully.
• Attend all scheduled dialysis treatments.
• Maintain a healthy diet and lifestyle.
• Stay hydrated.
• Don't smoke.

Remember:

• Your fistula is your lifeline for dialysis.
• Proper care is essential to keep it functioning well and prevent complications.
• If you have any questions or concerns about your fistula, don't hesitate to contact your doctor or dialysis nurse.

Additional resources:

• National Kidney Foundation: https://www.kidney.org/
• American Kidney Fund: https://www.kidneyfund.org/