system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Indications of dialysis after failure of medical management include
assistant
The correct answer is  Dialysis is indicated when medical management fails to control volume overload, hyperkalemia, or acidosis; in some toxic ingestions; and when there are severe complications of uremia (asterixis, pericardial rub or effusion, encephalopathy, uremic bleeding). One of the major complications of hemodialysis is hypotension, paicularly in the critically ill. Ref: Harrison 19e 1811