
Next Gen Nursing
May 14, 2025 at 05:50 PM
Urgent indication for Kidney Replacement Therapy (KRT)??
* Severe metabolic acidosis refractory to medical treatment
* Pulmonary edema
* Uremic complications (pericarditis, encephalopathy, bleeding)
* Severe hyperkalemia refractory to medical treatment
* Intractable fluid overload coupled with organ dysfunction
* Concomitant intoxication with a dialysable drug or toxin
Relative indication?
* Progressive and/or persistent AKI (sCr >3× baseline and/or profound oliguria)
* Severe nonkidney organ dysfunction worsened by AKI
* Worsening trajectory of critical illness