What is the appropriate immediate action when a patient exhibits signs of hemolysis?

When a patient exhibits signs of hemolysis during a dialysis session, the most appropriate immediate action is to turn the blood pump off and clamp the venous line. This response is critical for several reasons.

Firstly, hemolysis can lead to the release of hemoglobin and other destructive compounds into the bloodstream, which can cause further complications such as renal failure or shock. By stopping the blood flow immediately, the risk of exacerbating these complications is minimized, and the health of the patient can be protected.

Clamping the venous line helps to contain the patient's blood within the circuit to assess the situation more effectively and prevents blood loss. After taking these steps, healthcare providers can focus on notifying the physician and assessing the patient’s condition further. Quickly halting the blood flow and securing the venous access are actions that prioritize the patient's safety and well-being above all else.