HEMODIALYSIS VASCULAR ACCESS: PRACTICE AND PROBLEMS: A Clinical Workbook for Nephrology Nurses, Dialysis Technicians, and Renal Care Teams; Aligned with KDOQI 2019 Vascular Access Guidelines

THE DIALYSIS LIFELINE — EXPLAINED, EXAMINED, AND WORKED THROUGH. Vascular access is the daily reality of every nephrology nurse and clinical hemodialysis technician — and the difference between a routine treatment and a cascade of complications. Yet the working knowledge of access has long been scattered across general nephrology textbooks, surgical references, and isolated journal reviews. Hemodialysis Vascular Access: Practice and Problems brings that knowledge together in a single, structured, evidence-aligned clinical workbook designed to be worked through, not merely read. WHAT’S INSIDE — fifteen chapters, seven units, one coherent learning arc: • Foundations — upper extremity arterial and venous anatomy, central venous anatomy, hemodynamic principles, AVF maturation physiology, and preoperative vascular mapping. • Daily practice — cannulation technique (rope-ladder, buttonhole, area), access surveillance and monitoring, and dialysis adequacy through Kt/V and URR. • The failing access — paired chapters on thrombosis and stenosis, the two complications that drive most access loss. • Infection, ischemia, and other complications — access-related infection, steal syndrome with the full grading and management algorithm, aneurysmal degeneration, high-output cardiac failure, and venous hypertension. • Catheter management — tunneled central venous catheter placement, dysfunction, fibrin sheath, and the catheter-to-fistula transition. • Special populations and the future — diabetic, elderly, pediatric, hypercoagulable, and pre-transplant patients; emerging technologies including endoAVF, drug-coated balloons, and AI-based monitoring. • Integrated board review — a CNN and CCHT capstone with examination blueprint, fifty high-yield clinical pearls, thirty integrated MCQs with rationales, and three multi-domain mega-cases. BUILT AS A WORKBOOK, NOT A WALL OF TEXT: • Learning objectives that open every chapter. • Opening clinical vignettes that frame chapter content and resolve at the end. • Boxed clinical pearls and evidence alerts highlighting high-yield concepts. • Chapter summaries written to stand alone as final-day review material. • Glossaries of key medical terms in the language of the chapter. • Multiple-choice, short-answer, and clinical-reasoning review questions modelled on CNN and CCHT examination styles. • Unfolding clinical cases with structured questions and instructor-grade rationales. WHO THIS BOOK IS FOR: • Nephrology nurses preparing for the CNN examination. • Clinical hemodialysis technicians preparing for the CCHT or CCHT-A examination. • Practicing dialysis nurses, charge nurses, and access coordinators who want a coherent reference for the problems that arrive at the chair. • Nephrology fellows, advanced practice nurses, and renal social workers seeking a working understanding of access from creation to revision. • Educators in nephrology nursing and hemodialysis technician training programs. ANCHORED TO THE EVIDENCE. Every clinical recommendation is referenced to the current KDOQI 2019 Clinical Practice Guideline for Vascular Access, with the underlying strength-of-evidence grade preserved so readers can distinguish between strong-evidence recommendations and clinical consensus practice points. Open it the week your CNN examination is scheduled, and Chapter 15 alone is a complete final-week review. Open it on a Tuesday morning when the access in chair four is suddenly behaving strangely, and the chapter you need is the chapter that will help. This book is intended for educational and reference purposes only. It does not replace the policies of the institution in which the reader practices, nor the independent professional judgment of a qualified clinician.