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Use Furosemide To Predict Dialysis Need
- Do use a furosemide stress test (e.g., 160 mg) to predict near-term need for dialysis.
- If urine rises after the test, dialysis is unlikely in the next few days.
Early Dialysis Trials Miss Volume Nuance
- Early versus delayed dialysis shows no clear outcome benefit in trials except for poorly defined volume indications.
- Volume assessment is subjective, so trials struggle to capture benefits of early volume control.
Prefer CRRT For Hemodynamically Unstable Patients
- Choose CRRT for hypotensive, volume-managed ICU patients needing gradual fluid control.
- Use intermittent HD only for urgent, fast solute removal or when hemodynamics permit.