Indications for Dialysis

Acute Indications:

Volume overload refractory to diuresis

Severe hyperkalemia (K >6.5 mEq/L) or rapidly rising K+ levels

Severe metabolic acidosis ( and pH <7.1)

Uremia (pericarditis, uremia, unexplained mental status decline)

Toxic overdose of a dialyzable drug (Barbiturates, Isoniazid, Salicylates, Methanol etc)

Chronic Indications:

CKD stage 5, GFR<15

Modalities:

Intermittent Hemodialysis (IHD): access-> AV fistula/graft

Peritoneal Dialysis (PD): access ->peritoneal catheter.

Timing:

3 times weekly, on alternate days, (MWF or TThSa) is the recommendation for intermittent hemodialysis (IHD).