A report was received on (b)(6) 2020 from a health care professional regarding a (b)(6)year old female with end stage renal disease who experienced fatigue, pallor and hypotension (77/57 mmhg) during a hemodialysis treatment on (b)(6) 2020.The nurse elected to terminate treatment and automated rinseback was performed successfully.On removing the cartridge, the nurse noted approximately 200ml of blood loss, the source of which could not be determined.The patient attended the emergency room later that day with pain and swelling in her arteriovenous fistula (avf).Additional information was received on 01 sep 2020 from a health care professional who stated the patient was hypovolemic and their hemoglobin decreased from 8.7 g/dl to 5.6 g/dl.The patient was observed overnight and released with no medical intervention reported.
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