Dialysis Access (Catheter)

Dialysis Access (Catheter)
What is dialysis access?
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Dialysis is a way to get rid of body wastes from your blood.
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You need dialysis when your kidneys can’t do the job anymore.
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Dialysis access is the way the dialysis machine connects to your blood vessels.
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One way is with a plastic tube called a catheter.
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One end of the catheter stays outside your body. The other end stays in one of your blood vessels. This
blood vessel is usually in your neck or chest.
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Catheters can be used right after they are placed. Sometimes catheters are used only for a short period
of time. Other people will always use a catheter for dialysis.
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Infection is one of the main risks of having a catheter. It is important to watch for signs of infection. Your
kidney doctor will teach you how to take care of your catheter.
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Sometimes blood clots can form inside the catheter. A blood clot can keep blood from flowing well. Your
kidney doctor will check the blood flow through your catheter.
What should I do to stay healthy?
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Always keep a dressing over your catheter.
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Learn about how to change your dressing and what it should look like.
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Keep your dressing dry, even when showering or bathing.
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Do not let anyone touch or use your dialysis catheter without the permission of your dialysis team.
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Take all of your medications as directed.
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Don’t miss any dialysis sessions. This can be very dangerous.
When should I call my Doctor or NurseWise?
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If you have fever or chills.
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If the skin around your catheter becomes red, swollen, or painful.
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If there is pus or other fluid coming out around your catheter.
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If your catheter dressing gets wet or comes off and you are not sure how to put a new dressing on.
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If you have to miss dialysis for any reason.
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If you are feeling sick or not like usual.
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