Severe acute kidney injury
Acute poisoning (toxin specific – see Therapeutic Plasma Exchange page)
Severe overhydration and fluid overload
Severe electrolyte derangements
Severe chronic renal failure (not offered at this facility)
Length of treatment is difficult to determine as it depends on cause of the acute renal injury and the degree of renal damage. However, clients should be emotionally and financially prepared for on average 2-5 sessions over 1-3 weeks. The prognosis, similarly, varies depending on the cause of the acute renal injury as well as comorbid conditions, therefore, risks/benefits to commencing dialysis need to be considered on a case-by-case basis.
The cost for hemodialysis depends on the indication for dialysis and how severe the patient’s renal disease is and balancing of concurrent illness. Some patients are well enough to go home between treatments. A thorough evaluation of the case is necessary prior to writing an estimate of care. Additional charges may be incurred if a longer time in ICU is required. If you have a patient that you feel may benefit from hemodialysis, call your regional hemodialysis center (AVECCC or ARISE) to discuss the case.