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- Absolute indications for dialysis include hyperkalemia, metabolic acidosis, and pulmonary edema refractory to medical therapy; uremic symptoms; uremic pericarditis; and certain drug intoxications.
- normal serum potassium and bicarbonate levels, does not have significant volume overload, and does not have uremic symptoms. Several recent studies have demonstrated no benefit in starting dialysis in asymptomatic patients early based upon an arbitrary eGFR cutoff compared with waiting until patients develop very low eGFR (<8-10 mL/min/1.73 m2) or clinical indications for dialysis are present.