Chloramine exposure in dialysis treatment can result in which of the following?

Chloramine exposure in dialysis treatment is particularly problematic because chloramines can cause hemolysis, which is the destruction of red blood cells. During hemodialysis, the quality of the water used is crucial for patient safety. If chloramines are present in the dialysate fluid, they can lead to significant health complications.

Specifically, hemolysis occurs when chloramines enter the bloodstream and damage the red blood cell membranes. This process not only reduces the oxygen-carrying capacity of the blood but can also lead to complications such as anemia and increased bilirubin levels due to the breakdown of hemoglobin.

It's important to note that while electrolyte imbalance, acidosis, and hypertension are potential concerns in a dialysis setting, they are not directly linked to chloramine exposure as hemolysis is. Therefore, understanding the specific risks associated with chloramine exposure helps highlight the importance of thorough water treatment processes in hemodialysis to prevent such dangerous outcomes.