WARNING SIGNS FOR GRAFTS AND FISTULAS
  1. Prolonged bleeding from access after dialysis - over 20 minutes
  2. Change from a "buzz" or vibration felt over the graft or fistula to a pounding pulse
  3. More than one episode of infiltration or bruising around the graft or fistula
  4. Poor dialysis (insufficient clearance, recirculation) due to low flows
  5. A trend toward decreasing blood flows in a graft or fistula
  6. Elevated venous pressures on dialysis
  7. Swelling of the hand or arm on the side of the graft or fistula
  8. Development of "new veins" or popping out of old veins
  9. Pain in the graft or fistula
  10. Swellings in the graft or fistula
Call these signs to the attention of your nephrologist or dialysis center, or call Michigan Vascular Access (248-355-1100) for a prompt evaluation

DO NOT WAIT FOR YOUR GRAFT TO BLOW OR CLOT!!!!
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