Thrill Seekers
What 3 actions make up the basic assessment before cannulation?
What is Look, Listen, and feel?
What technique rotates needle sites along the usable access segment?
What is rope ladder technique?
Which is smaller: 17G or 15 G?
In what direction is the venous needle generally placed?
These two bean-shaped organs filter the blood, remove wastes, and help regulate fluid and electrolytes.
What are the kidneys?
What should a normal AVF/AVG access feel like on palpation?
What cannulation technique repeatedly uses the same established track?
What is buttonhole?
What needle gauge is commonly used for initial cannulation of a new developing AVF?
What must happen to the skin antiseptic before cannulation?
What is the antiseptic should dry completely?
Celebrated each year, this special week recognizes nurses who care for people with kidney disease and highlights their contributions to nephrology nursing.
What is Nephrology Nurses Week?
What change in the bruit may suggest stenosis or access dysfunction?
What is a high pitched bruit?
Why should repeated cannulation be avoided?
What is aneurysm formation and access damage?
What BFR is range is generally corresponds with a 16G needle?
What is 300-350ml?
Why should arterial and venous needle tips be appropriately separated when anatomy permits?
What is to minimize recirculation?
This professional organization supports nephrology nurses through education, advocacy, certification resources, and professional development.
What is the American Nephrology Nurses Association (ANNA)?
Name 3 skin/access findings that should make a nurse reconsider the planned cannulation site.
What are redness, warmth, swelling, drainage, hematoma, open /scabbed area, compromised skin, aneurysm, pseudoaneurysm or previous infiltration?
Why is buttonhole cannulation inappropriate for a synthetic AVG?
What is buttonhole is for AVF use only?
A mature AVF has a prescribed BFR of 400ml/min. What gauge generally corresponds with this range?
What is 15G needle?
Can the needle be placed antegrade or retrograde?
Besides removing waste, healthy kidneys produce this hormone that stimulates the bone marrow to make red blood cells.
What is erythropoietin (EPO)?
During pre-cannulation assessment, the nurse detects a strong pulsatile access, diminished thrill, and high-pitched bruit over the venous outflow. This finding should raise concern for this access complication?
What is outflow stenosis?
Name 3 potential consequences of repeatedly cannulating the same small area.
What is aneurysm/pseudoaneurysm, skin thinning/deterioration, stenosis, thrombosis, or access damage?
Match all four gauges with their general BFR ranges: 17G, 16G, 15G, 14G
What is 17G <300; 16G 300-350; 15G 350-400; 14G >450
Despite apparently adequate BFR, dialysis clearance is unexpectedly poor. The arterial venous needle tips were placed very close together. This phenomenon may cause already-dialyzed blood to return directly to the arterial needle.
What is access recirculation?
This kidney-produced enzyme initiates the RAAS pathway by converting angiotensin into angiotensin I, ultimately helping regulate blood pressure and sodium balance?
What is renin?