Indications for urgent dialysis

• Acid-base disturbance: refractory acidemia

• Electrolyte disorder: hyperK; hyperCa, hyperPO4, tumor lysis syndrome

• Intoxications (http://www.extrip-workgroup.org/): Poison Control (1-800-222-1222)

  • Indicated for: methanol, ethylene glycol, metformin, Li, valproic acid, salicylates, barbiturates, theophylline, thallium

  • Consider for: carbamazepine, APAP, dig (Rx Digibind), dabigatran (Rx idarucizumab)

• Overload: refractory hypervolemia → hypoxemia (eg, CHF)

• Uremia: pericarditis, encephalopathy, bleeding