The most frequent causes of hemodialysis-associated hemolysis are increased chloramine in the water used for dialysis; nitrate contamination of the dialysate, formaldehyde residue left after dialyzer reprocessing or water treatment system disinfection, use of hypotonic dialysate or dialysate exceeding 108 F (42 C), or …

Which issue is a probable cause of hemolysis in dialysis patients?

Chlorine and chloramines can cause hemolysis. Narrow orifices in blood tubing can lead to hemolysis. Exposure to hydrogen peroxide can bring about hemolysis. A dialysis patient developed hemolysis after aortic and mitral valve replacement.

Does hypotonic dialysate cause hemolysis?

Four major mechanisms capable of inducing hemolysis during HD have been recognized: overheating, hypotonicity of the dialysate, contamination of the dialysate with toxins (e.g., formaldehyde, bleach, chloramine, nitrates) from the water supply, with copper from copper piping and improperly functioning clamps or tubing, …