With one hour left of dialysis it was discovered by pod staff that the arterial line above the dialyzer and critline adapter was kinked.The line was manually un-kinked and taped in place to ensure patency.Pt became hypotensive c/o of dizziness and leg cramps.Pt was also slightly tachycardic.Pt continued to feel worse and ems was called.By the time ems had finished evaluation pt was vomiting with blood in the emesis.Pt was unable to ambulate with normal strength and was transferred to stretcher with help of 2 staff.Family was informed along with providers and management.Pt was transferred to the er by ambulance.Pt later died.Hct, mch, mchc =unable to report due to unknown interfering substances.Fda safety report id# (b)(4).
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