What are the indications for hemodialysis?

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Absolute indications for hemodialysis:

• Fluid overload not responsive to medical treatment.

• Hyperkalemia not responsive to medical management.

• Uremic pericarditis.

• Refractory metabolic acidosis.

Relative indications for hemodialysis:

• Glomerular filtration less than 10 ml/min (less than 15 ml/min in diabetics).

• Serum creatinine greater than 8 mg/dL (greater than 6 mg/dL in diabetics).

• Severe uremic symptoms (uremic seizure and coma is an indication of immediate dailysis).

Contraindications for hemodialysis:

• Debilitating chronic disease.

• Severe irreversible dementia.

Additional Reading:

Basic Nephrology

1. Renal Control in Acid-Base Balance
2. Renal Processes
3. Renal Clearance
4. Regional Transport
5. What are the indications for hemodialysis?

Related Topics

1. Kidney Disorders
2. Histology of the Urinary System
3. Acid-Base Disturbance: Acidotic or Alkalotic? [Size: 427 kB; Format: PDF]
4. Abdominal Examination for Internal Medicine

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