Friday, December 2, 2011

INDICATIONS

Starting Indication:

The decision to initiate dialysis in patients with renal failure depends on several factors.These can be divided in to acute or chronic indications.

Acute Indications:

1.Acidemia from metabolic acidosis in situations where correction with sodium bicarbonate is impractical or may result in fluid overload.

2.Electrolyte abnormality such as hyperkalemia,especially when combined with AKI.

3.Intoxication,that is,acute poisoning with a dialysable substance.

4.Fluid overload not expected to respondto treatment with duiretics.

5.Complications of uremia,such as pericarditis,encephalopathy,or gastrointestinal bleeding.

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