What is your approach to safely performing hemodialysis in a patient with a fistula who is hospitalized for altered mental status and unable to remain still?  

First, I would try to delay performing dialysis if possible and give the patient a chance to be more alert. Second, if there is a way to perform dialysis safely through meds or very close supervision, then I would try to use the fistula for dialysis. If the above is not possible, then the patient wo...