What condition may result from patient exposure to chloramines during hemodialysis treatment?

Hemolysis is a condition that can occur as a result of patient exposure to chloramines during hemodialysis treatment. Chloramines are chemical compounds that can form as a byproduct when chlorinated water is mixed with ammonia. In a hemodialysis setting, if the water used for dialysis treatment contains chloramines and is not adequately removed, these substances can enter the bloodstream during the procedure.

When chloramines come into contact with red blood cells, they can cause oxidative stress, leading to the destruction of these cells, which is the process known as hemolysis. This destruction can manifest in symptoms such as jaundice, dark urine, and anemia, as the lifespan of red blood cells is significantly reduced.

Understanding the potential dangers of chloramines highlights the importance of proper water treatment and monitoring protocols in dialysis facilities to prevent such complications. Effective measures include using reverse osmosis systems and ensuring that any residual chloramines are adequately removed from the water supply before it is used for dialysis. This awareness is crucial for the safety and well-being of patients undergoing treatment.