Keywords: AV fistulas, bleeding (PubMed Search)
Bleeding AV Fistulas
It is not an uncommon complaint for dialysis patients to present with bleeding from their fistula. They can lose a large amount of blood in a short period of time if not treated promptly, and if treated too agressive their fistula can clot off. Some tips on how to control the bleeding.
Most of the bleeding occurs at the site that the needle puntured the fistula. If it is due to an ulcer eroding into the fistula these tips may not be effective.
I typically check a CBC and coags. Once the bleeding is controlled observe the patient for awhile [typically the hour to hour and half to get the labs back] and then road test them with a walk around the Emergency Department to ensure it does not start bleeding again.