CCHT Practice Exam 2025 – Complete Prep for Certified Clinical Hemodialysis Technicians

Question: 1 / 400

What is a potential complication when not monitoring chlorine levels in dialysate?

Thrombosis

Hemolytic anemia

Monitoring chlorine levels in dialysate is crucial because elevated levels can lead to hemolytic anemia in patients undergoing dialysis. Chlorine, particularly in the form of chloramines, can cause the destruction of red blood cells, leading to a decreased hemoglobin level and potential anemia.

When dialysis patients are exposed to high levels of chlorine or chloramines, the integrity of the red blood cells is compromised, resulting in their premature destruction. This situation can contribute to hemolytic anemia, characterized by symptoms such as fatigue, weakness, and pallor due to low red blood cell counts.

The other options presented, such as thrombosis, osteodystrophy, and sepsis, are complications typically linked to various factors in the dialysis process but not specifically to chlorine levels in dialysate. Thrombosis relates to clotting issues, osteodystrophy to bone disease resulting from imbalances in calcium and phosphorus, and sepsis arises from infections, which are generally unrelated to chlorine exposure in dialysis.

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Osteodystrophy

Sepsis

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