Dialysis

First Things First (assess & treat for the following)

• Indications for acute dialysis
  • Uremia
  • Hyperkalemia
  • Acidosis
  • Volume overload secondary to renal failure
  • Certain toxic ingestions
• If there is no acute indication, the timing of dialysis for renal failure is less clear.
  • Data do not suggest that maintaining any certain BUN or creatinine level is beneficial.
  • The initiation of dialysis should anticipate complications of progressive failure.