Caring for your dialysis fistula every day

Your fistula is your lifeline. A daily check and a few simple rules help it last for years.

Check your fistula every morning and evening. Rest your fingers lightly on it and you should feel a buzz, called the thrill. Hold it near your ear and you will hear a whooshing sound.

Protect the arm: no blood pressure readings, blood tests or drips on the fistula arm. Avoid tight sleeves, watches and bracelets, do not carry heavy bags on that arm and try not to sleep on it. Keep the skin clean, and wash the arm before every dialysis session.

Call the clinic the same day if the buzz becomes weak or stops, if the arm becomes red, hot, swollen or painful, or if your hand turns cold or numb. A fistula that has just stopped can often be saved if it is treated quickly.