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Table 6 Model to initiate and stop dialysis based on assessment of demand and capacity

From: Acute kidney injury in the ICU: from injury to recovery: reports from the 5th Paris International Conference

Demand

Capacity

Example

Action

High

Normal

High catabolic state

High nutritional loading

Poisoning

Reduce demand if possible

Monitor for support renal support

High

Low

Decreased GFR from AKI

Renal support

Reduce demand if possible

Normal

Low

CKD

Non-catabolic

AKI

Add renal support if necessary to maintain steady state

Low

Low

Malnutrition and wasting CKD

Assess for nutritional state and add renal support if necessary