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Haemodialysis and

                                                                             Peritoneal Dialysis
                                                                              – A Guide for Patients




        The following tips will help you care for your           Remember – keep sharp objects such as razors
        dialysis line.                                        or scissors away from your dialysis line.
        l The dialysis staff will change your line dressing      In the unlikely event of your dialysis catheter
           at the end of each dialysis session.               falling out, lie flat with your legs elevated, place
        l Most daily activities are not affected by having    gauze or a clean towel over the area and apply
           a dialysis line. However, you should avoid         pressure for at least 5 minutes or until the bleeding
           swimming & contact sport.                          has stopped. Contact the unit immediately.
        l Take extreme care when dressing/ undressing to         Never open the clamps or sealing caps between
           avoid pulling accidentally on your catheter.       treatments.
        l If you have a bath, do not allow the dialysis          If you feel or observe fever, chills, redness,
           catheter or dressing to come into contact with     swelling, pain at exit site or, feel generally unwell,
           the bath water.                                    contact the unit immediately, as you may have a
        l If you have been taught how to dress your own       catheter infection that will need to be treated.
           exit site, by dialysis staff, then you may take a
           shower and redress the line as shown.              LONG TERM RISKS OF CATHETERS
                                                                 Catheters can cause a number of long-term risks
        IMPORTANT POINTS TO REMEMBER AFTER                    including infection. Catheters that have been in
        INSERTION OF YOUR DIALYSIS LINE                       place, for a long time, may cause narrowing or
           When you are discharged home, from hospital,       blockage of the central veins in the body, interfere
        you will be given an emergency pack containing:       with the functioning of a fistula or cause swelling
        l Blue dialysis clamps                                of an arm or the face. This is sometimes called
        l Gauze dressings                                     central venous stenosis. If this occurs, it may be
        l Spare dressings                                     necessary to have a new line inserted.
           Please keep this pack with you at all times. In       Poor flow - Catheters may develop a small clot,
        the unlikely event that the  catheter becomes         at the tip, causing poor flow of blood in the line.
        damaged or leaks, lie flat with your legs elevated.   This can lead to inadequate dialysis and result in
        Place the blue clamp from the emergency pack          you feeling poorly.
        above the leak as close to your exit site as possible    In rare cases, catheters that are in place for a
        and contact the unit immediately.                     long time can become embedded, making their
                                                              removal very difficult.







                                                     “Remember –
                                                  keep sharp objects
                                                    such as razors or
                                                  scissors away from
                                                   your dialysis line.”









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