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When a patient with fluid overload undergoes dialysis and experiences hypotensive episodes, one significant concern is the increased risk for additional health complications. Hypotension can lead to reduced perfusion to vital organs, which may result in complications such as ischemia, increased cardiac workload, and sometimes even cardiac arrest.

During hypotensive episodes, the delivery of oxygen and nutrients to tissues diminishes, which can cause further health issues, especially in patients with already compromised conditions. Additionally, the body’s response to prolonged hypotension might include physiological stress responses that can complicate the patient's overall clinical status, exacerbating existing medical conditions or leading to new health issues.

While improved heart function, enhanced patient morale, and reduced treatment duration might seem desirable in any healthcare scenario, they are less likely outcomes directly associated with hypotension during dialysis for patients already facing fluid overload. Instead, the prevailing concern remains the potential for a cascade of health complications following episodes of hypotension.