Manifestations of hemolysis

What are the manifestations of hemolysis and how is it treated?

Hemolysis may be suspected if the blood in the venous line is port wine in color or if plasma is pink in centrifuged samples, or with a marked drop in hemoglobin without an obvious source of bleeding. If hemolysis is suspected, the dialysis session should be stopped immediately and the blood in the dialyzer and blood tubing should be discarded because it may have a markedly elevated potassium level as a result of potassium release from hemolyzed erythrocytes. Patients will need to be hospitalized to monitor the extent of hemolysis and to treat hyperkalemia.

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