Interpretation: Hemodialysis Access

Question 1

peak systolic velocities and end diastolic velocities are normally both

Answer 1

elevated

Question 2

low PSV obtained in access graft could indicate

Answer 2

arterial inflow problem

Question 3

rounded =

Answer 3

prox obstruction

Question 4

mL/min is same as

Answer 4

cc

Question 5

most common site for stenosis possibly due to intimal hyperplasia or elevated arterial p

Answer 5

venous anastomosis and outflow v

Question 6

large blood volume in venous circulation, can increase venous return resulting in

Answer 6

congestive heart failure

Question 7

the distal arterial blood flow is reversed into venous circulation and can cause hand pain on exertion, pallor and coolness of skin distal to shunt because of pressure gradient

Answer 7

steal syndrome

Question 8

assessment of possible steal

with dialysis access open

Answer 8

use PPG to eval flow in at least 2 digits one at a time

Question 9

assessment of poss steal

apply manual pressure to dialysis access and

Answer 9

retake ppg tracing and or pressure

Question 10

if flow improves, there

Answer 10

is a steal

Question 11

if flow stays the same, there

Answer 11

prob not a steal