AV Fistula Should ALWAYS Have These Two Things...Nursing #shorts

What is an AV fistula? AV stands for arteriovenous, and fistula means a connection between two structures. Therefore, in an AV fistula, there's a connection between an artery and a vein.

AV fistulas are sometimes surgically created in patients who need long-term hemodialysis. The AV fistula is used as an access portal to send blood from the patient to the dialysis machine, which filters waste, and then the blood is put back into the patient via the AV fistula.

There are two things an AV fistula should have: A thrill and a bruit. A thrill is assessed by palpation and feels like a vibration (similar to a cat's purr or stronger).

A bruit is a loud swooshing sound that you can hear best with the bell of your stethoscope.

These are both important findings in patients with an AV fistula, and if you don't notice them, you should report it immediately.


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[RegisteredNurseRN]

Hey, everyone! Thanks so much for watching. Don't forget:

[billykirkland]

Just want you to know, I've been an RN for over 25 years and I love all of your videos. It's good to keep up with the knowledge! Thank you.

[MAG]

Thank you 😊 staring dialysis job soon. Never understood this…all I know is your “hear” a bruit and u “feel” a thrill. Wish me luck 🍀

[stephanieoyebamiji]

I work in nephrology and many of our patients have these; it’s either they have an AVF or a central line to be able to do hemodialysis.

[suzieq]

Always wondered about those. Heard about them in phlebotomy school; however, I never have met anyone with one yet. Thanks for the information.

[hannahsynergy]

I had a patient with one in her wrist before! She stated they were doing a heart Cath and just wanted to do both at the same time. Super unusual!

[Pinkcouture]

I had a Dural AV fistulae of the upper spine, very nasty and it was not easy to fix, but thankfully I am ok now

[iceangel]

My dad had a naturally occurring av fistula.

[michellewyles]

my daughter had to have 2 fistulas and neither worked but thank goodness she got a kidney transplant and my question is can they be reversed back to normal

[elizabethwhite]

Can you help me understand I don't want to get a fistula because I know it will cause lumps on my arms I do not wish to get them I want to know if I did would they be able to remove the lumps

[tld]

do the doctors typically do the fistula?