This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Chronic Kidney Disease & Diabetic Nephropathy, Subject name: Medicine
[{'content': 'Which of the following is an absolute indication for hemodialysis? \nSelect and explain. \nA. Hypeension, B. Hyperkalemia, C. Pericarditis, D. Metabolic alkalosis', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Indications for emergency dialysis is AEIOU-G Acidosis Acidosis refractory to medical therapy. If severe (pH < 7.2 and refractory to HCO3 or unable to give HCO3 due to volume overload) or symptomatic (arrhythmias). Electrolytes Especially potassium with EKG changes.ONLY Intractable hyperkalemia (not Responding to Potassium-binding resins)requires dialysis Ingestions ause renal failure such as salicylates or ethylene glycol Overload Volume overload causing pulmonary edema. Uremia Confusion,pericarditis, seizures,Platelet dysfunction -Severe bleeding diathesis GFR GFR < 10 mL/min/1.73 m2 (no benefit to initiating dialysis pre-emptively at a GFR of 10-14 mL/min per 1.73 m2) Hyperkalemia per se is not an indication but Refractory hyperkalemia is an indication for dialysis.', 'role': 'assistant'}]