This year’s second Taoyuan Hemodialysis Access Nursing Symposium, held Sunday 10/22, was completed successfully
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The first speaker, Dr. Shih-Chieh Lin, shared his many years of clinical experience caring for patients and points to watch, especially that infection and cardiovascular complications are conditions patients often meet. The talk cited several important clinical guidelines and explained very practically how to reduce access infection. Finally Dr. Lin showed a clinical picture for reference: a severe skin reaction after disinfection in a patient with allergy to the disinfectant, which left a deep impression: before disinfecting, carefully confirm each patient’s drug allergy history. (Dr. Lin’s lecture handout attached.)
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The second speaker was Dr. Wei-Wen Chang of You An Clinic, who spoke about the mechanism, clinical symptoms and ways of improving high blood phosphorus in dialysis patients.
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Long-term high blood phosphorus can cause parathyroid tumors, itchy skin, bone disease, kidney damage and cardiovascular disease, causing calcification and hardening of the dialysis access and ischemia from blockage of the leg arteries.
High phosphorus can be improved in three ways: adequate hemodialysis, a low-phosphorus diet and use of phosphate binders.
Dr. Chang shared the “nutrition facts” app (see his handout for details), which makes it easy to look up the ingredients in foods and recommendations for high-content ingredients right away.
An excellent talk and carefully made slides; attendees gained a great deal (Dr. Chang’s lecture handout attached).
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The third speaker invited was vascular surgeon Dr. Pin-Chao Feng
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Dr. Feng explained in a simple, concise way, with lively pictures, how vascular surgeons care for dialysis access (PTA balloon angioplasty / stent placement / aneurysm repair / graft infection), so that hemodialysis nurses can better understand surgeons’ thinking and management (Dr. Feng’s handout attached).
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Another topic was early cannulation grafts: Dr. Ta-Wei Su shared his clinical experience of creating early cannulation grafts over the past several years, beginning with what an early cannulation graft is and how its structure differs from a conventional graft, and explaining the differences between the two early cannulation grafts on the Taiwan market and points to note in follow-up care.
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The surgical video in the talk let dialysis nurses see how an AVG is placed in the arm, and we believe attendees were deeply impressed.
Dr. Su explained in detail in his talk when an early cannulation graft can be needled, how to needle it, and how to care for it afterwards (Dr. Su’s handout attached).
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The two 2023 hemodialysis symposia in Taoyuan were completed successfully through the concerted efforts of many nurses, lecturers, organizers and co-organizers, and the staff behind and in front of the scenes. Thank you again for your enthusiastic participation, discussion and feedback. We look forward together to the next symposium. See you next year! ^_^
