What is one potential consequence of chlorine or chloramines in patient care?

Chlorine and chloramines are commonly found in water treatment processes and can severely impact patient care, particularly in dialysis settings. The presence of these substances in the dialysate can lead to hemolysis, which is the destruction of red blood cells. This occurrence can be particularly dangerous for patients undergoing dialysis, as it can significantly affect their overall health.

When chlorine is introduced into the bloodstream, it can cause the red blood cells to become weak and rupture, leading to a decrease in oxygen-carrying capacity. This condition can result in symptoms such as fatigue and shortness of breath and can lead to more severe complications if not addressed promptly.

While skin rashes, electrolyte imbalances, and dehydration can also be concerns in patient care, they are not directly linked to the presence of chlorine or chloramines in the same way that hemolysis is. Instead, they could arise from other medical or environmental factors, making hemolysis the most significant consequence related to the use of treated water containing chlorine or chloramines in a dialysis setting.