see: [Rosen - complications of dialysis](x-devonthink-item://10145157-4087-4265-A78F-B262FA496B4B?page=14) see also: [[Peritoneal dialysis]] > **key historical elements for haemodialysis patients** > - cause of end-stage renal disease > - dialysis schedule: any missed sessions? > - still producing urine? > - dry weight, baseline lab values, vital signs > - average intradialytic weight gain > - does pt usually make dry weight by end of haemodialysis > - does pt experience intradialysis hypotension > - which vascular access is functioning > - symptoms of uremia > - retention of native kidneys? # Indications for urgent dialysis - severe metabolic acidosis - severe hyperkalemia / rapidly rising  - intoxicants (CAVAL eg carbamazapine, tox alcohols, valproate, aspirin, lithium) - fluid overload with pulm oedema refractive to diuresis  - uraemic complications (encephalopathy, pericarditis, myopathy, neuropathy)  - severe oligo/anuria refractive to medical treatment in acute renal failure (eg HUS) ## Tox indications See: [[Decontamination#Haemodialysis]] > **CAVAL** > - [[carbamazepine]] > - [[toxic alcohols|Alcohols]] > - [[Valproate]] > - [[Aspirin overdose|Aspirin]] > - [[​Lithium Toxicity|lithium]] / [[lamotrigine overdose|Lamotrigine]] Note: there are **other** indications for haemodialysis or haemofiltration in the context of tox other than as a source of *elimination*. For example, renal failure from colchicine overdose, severe metabolic acidosis from a long lie after a sedating medication overdose, etc. %% ```dataview TABLE WITHOUT ID file.link AS "Antidote: haemodialysis" WHERE contains(Antidote, "dialysis") SORT file.name ASC ```