A nurse is explaining to a group of students that there are certain criteria that are met before a child starts renal replacement therapy
Which of the following criteria does the nurse include in the discussion with the students? (Select all that apply.)
A.
Acidosis with pH < 7.2 or rising rapidly
B.
BUN > 150 mg/dL, or lower if rising rapidly
C.
Mental status changes from uremia
D.
Potassium > 6.5 mEq/L despite treatment
E.
Presence of dialyzable toxins or poisons
ANS: B, C, D, E
There are several criteria for beginning renal replacement therapy, including those listed here. Acidosis with a pH of greater than 7.2 or HCO3 greater than 10 mEq/L are also criteria, but if the pH is rising (normalizing) quickly, that would not be an indication to begin therapy.
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