Dialysis Technician Practice Exam

What could large amounts of aluminum in water used for dialysate cause?

1. Bone Disease

2. Hypertension

3. Kidney Stones

4. Anemia

The correct answer is: Bone Disease

Large amounts of aluminum in the water used for dialysate can lead to bone disease, particularly osteomalacia. This condition occurs because aluminum interferes with the metabolism of calcium and phosphorus, essential minerals for bone health and structure. In patients undergoing dialysis, who may have compromised kidney function, the accumulation of aluminum can result in an inadequate mineral balance, ultimately affecting bone density and strength. It’s important for dialysis technicians to monitor and ensure the quality of the water used in the dialysis process to prevent the introduction of harmful substances, including aluminum, that can exacerbate complications in patients with chronic kidney disease. The presence of aluminum can be particularly concerning in patients who require long-term dialysis treatments, as the cumulative effects can lead to more serious health issues, including those related to bone integrity.