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Indications for dialysis therapy in acute kidney injury

Following are the indications for dialysis in acute kidney injury

  1. Fluid overload that is refractory to diuretics.
  2. Hyperkalemia  (serum potassium concentration > 6.5 meq/L) or rapidly rising potassium levels, refractory to medical therapy.
  3. Metabolic acidosis (pH less than 7.1) in patients in whom the administration of bicarbonate is not indicated, such as those with volume overload (who would not tolerate the obligate sodium load), or those with lactic acidosis or ketoacidosis in whom bicarbonate administration has not been shown to be effective.
  4. Signs of uremia, such as pericarditis, neuropathy, or an otherwise unexplained decline in mental status