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Pathology General e84cfc09

A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What do you do to prevent complications associated with this device?

A
Insert I.V. lines above the fistula
B
Avoid taking blood pressures in the arm with the fistula.
C
Palpate pulses above the fistula
D
Report a bruit or thrill over the fistula to the doctor.
High-Yield Explanation
Don’t take blood pressure readings in the arm with the fistula because the compression could damage the fistula. Option A: IV lines shouldn’t be inserted in the arm used for hemodialysis. Option C: Palpate pulses below the fistula. Option D: Lack of bruit or thrill should be reported to the doctor.

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