Indications for RRT:
- Failure of conservative treatment with progressive deterioration in
patient's general condition and blood chemistry. - Persistent nausea and vomiting.
- Circulatory overload which is unresponsive to loop diuretics (e.g.
frusemide) - Severe motor neuropathy.
- Uraemic encephalopathy.
- Pericarditis
- Bleeding diathesis.
- Hypertension unresponsive to treatment.
- Hyperkalaemia (serum K+ level > 7 mEq./litre).
- High creatinine levels and decreased creatinine clearance (Cr.
clearance < 10ml/min).
Contraindications for dialysis treatment.
- Absolute:
- Patient's refusing dialysis.
- Severe extrarenal illness e.g. severe cardiac disease, end stage
liver disease, severe cerebrovascular disease and advanced
malignancy.
- Relative:
- Severe disability or handicapping.
- Paraplegia or hemiplegia