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hemodialysis

Completion requirements

- Nursing procedures to start a dialysis session

Steps :

·   Handwashing is a routine wash.

·  Preparing the supplies.

·  Washing hands before starting work.

·  Wearing protective clothing (gloves - mask - goggles).

·   Measuring vital signs before the session, and blood pressure is measured every hour during the session and as needed based on the patient's condition.

·  Ensuring the connection works properly by:

o   1 - Hearing the sound of blood flow (BRUIT)

o   2-Ensure the presence of the thrill.

o   3-Ensuring there are no bruises, redness, or any changes.

o   4-Ensure that there are no fibrous tissues; they should be soft and palpable.

·   Disinfect the arteriovenous connection site on the patient's hand with Betadine, taking into account the contact time of Betadine with the arteriovenous connection in the patient's arm after ensuring the catheter is secured in the patient's arm and the patient is connected to the machine.

· Connecting the closed arterial connector with the closed arterial needle.

·  Opening the valve after ensuring there is no air in the connections.

·   Slowly open the blood suction pump and administer the agreed-upon amount of heparin with the treating physician.

·  Closing the vein connection valve when blood reaches it and stopping the blood pump.

·  Connecting the closed valve end of the patient's line to the closed end of the intravenous needle.

· Slowly open the blood pump while opening all the closed valves.

·  Ensure the blood level rises in the air barrier and gradually speed up the blood pump.

·  Wrapping the connections around the patient's arm securely and fastening them.

·  Hand washing is a routine wash.