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- Title
Hemolysis as Cause of Hemodialysis Blood Leak Alarm: Case Study of a Patient with Freshwater Near-Drowning.
- Authors
Jepson, Rick; Hartlein, Maria; Hauf, Lisa D.; Garett-Golden, Clarissa; Mahoney, David; Giullian, Jeffrey
- Abstract
Hemolysis may be an infrequent cause of hemodialysis blood leak alarms. We report the case of an unresponsive adult male who was placed on hemodialysis with a high-flux dialyzer. Within five minutes, the blood leak alarm sounded. The care team discontinued treatment and made two additional attempts to reinitiate hemodialysis with different machines, blood tubing lots, and brands of high-flux dialyzers, but continued to receive blood leak alarms. Laboratory studies were consistent with severe hemolysis. The attending nephrologist subsequently ordered continuous venovenous hemofiltration, which was initiated and continued into the following day without incident or alarm. The patient later expired from complications of near-drowning. In the event of significant hemolysis, continuous kidney replacement therapy or hemodialysis with a low-flux dialyzer, and a lower ultrafiltration rate may be indicated.
- Publication
Nephrology Nursing Journal, 2021, Vol 48, Issue 3, p237
- ISSN
1526-744X
- Publication type
Academic Journal
- DOI
10.37526/1526-744X.2021.48.3.237