31/10/2025
How to Care for Your Fistula (Your Lifeline for Dialysis)
If you’re on dialysis, your fistula is very precious — looking after it helps prevent infection, clots, and other problems. Here are some simple tips 👇
✅ Daily Care
👉 Check the thrill (the buzzing/vibration in your fistula) every day. If it stops or feels weaker — call your dialysis unit immediately.
👉 Wash your arm with soap and warm water before every dialysis session.
👉 Moisturise your skin (but not right before dialysis) to prevent cracks.
✅ Protect Your Access Arm
🚫 No blood draws, IVs, or blood pressure checks in that arm.
🚫 Avoid tight clothing, jewelry, or watches.
🚫 Don’t carry heavy bags or sleep on that arm.
⚠️ Be careful not to bump or injure it.
✅ Watch for Problems
❗ Infection: redness, warmth, swelling, pain, pus, or fever → contact your dialysis team immediately.
❗ Clotting/blockage: arm feels cold, swelling, or no “buzz” → report right away.
❗ Bleeding: after needle removal, press gently with clean gauze until it stops (don’t press too hard or scratch).
✅ Long-Term Care
🔄 Rotate needle sites (“rope ladder” technique) so one spot doesn’t get overused.
❤️ Keep your blood pressure & sugar under control.
🥗 Follow your kidney-friendly diet for healthy circulation.
⚠️ Remember: Your fistula is your lifeline. Treat it with care, check it daily, and act fast if something feels wrong. The sooner you report changes, the easier it is to save it! 💪