➤ When should renal replacement therapy be started in nonoliguric AKI?
Start renal replacement therapy when life‑threatening complications arise. Indications include refractory hyperkalemia, severe metabolic acidosis, pulmonary edema from volume overload, uremic encephalopathy or pericarditis, and progressive azotemia despite medical care. Urine volume alone rarely dictates dialysis; monitor electrolytes, acid‑base status, and fluid balance.
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