Hemodialysis — NCLEX Cheat Sheet
AV fistula = lifeline, protect it
👤 By the CinnaRN Clinical Content Team
🕐 Updated 2026-07-11
🏷️ Physiological Adaptation
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Use this quick-reference guide to spot, treat, and prevent Hemodialysis on the NCLEX. Keep it handy during review and on exam day!
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- AV fistula: feel THRILL, hear BRUIT
- no BP/IV/blood draw in that arm
- matures 6-8 wks before use
- weigh pt, assess access patency
- hold BP meds + dialyzable drugs
- no thrill/bruit → clot, EMERGENCY
- disequilibrium syndr: HA, confusion
- hypotension, cramps during
- weigh again, monitor for bleeding
- check BP, watch for hypovolemia
✨Quick Tip
An AV fistula should have a palpable thrill (buzzing) and an audible bruit (whooshing) indicating patency.
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