RT Book, Section
A1 Goldstein, Stuart L.
A2 Rudolph, Colin D.
A2 Rudolph, Abraham M.
A2 Lister, George E.
A2 First, Lewis R.
A2 Gershon, Anne A.
SR Print(0)
ID 7046278
T1 Chapter 478. Chronic Dialysis
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7046278
RD 2024/04/25
AB Chronic  dialysis  therapy  should  be  initiated  for  children  with  chronic  kidney  disease  (CKD)  who  are  unable  to  maintain  safe  electrolyte  homeostasis,  blood  pressure  control,  fluid  balance,  and/or  energy  level  with  appropriate  dietary  restriction  and  medication  management.  Although  no  absolute  serum  creatinine  or  blood  urea  nitrogen  concentration  serves  as  an  absolute  indication  for  dialysis  initiation,  a  creatinine  clearance  of  ⩽  15  mL/min/1.73  m2  should  also  prompt  consideration  of  dialysis  initiation  for  children  who  do  not  expect  to  receive  expeditious  renal  transplantation.1  In  addition,  dietary  restriction  should  not  be  made  so  severe  as  to  prevent  growth  in  an  effort  to  forestall  dialysis  initiation.