Dialysis access infection requiring IV antibiotics
Peritoneal dialysis peritonitis
ACS evaluation requiring serial testing
Uremic encephalopathy
Observation pathway
Mild volume overload responsive to therapy with planned urgent dialysis
Stable hyperkalemia corrected with clear follow up plan
Discharge criteria
Symptoms resolved and vitals stable
Potassium in safe range with reliable follow up
Clear dialysis plan for next session confirmed
Transfer and dialysis coordination
Transfer and dialysis coordination
Emergent dialysis coordination
Confirm dialysis availability and timing
ICU transport if unstable
Special situations
Need for CRRT local protocol dependent
Lack of local nephrology coverage triggers early transfer planning
Discharge Instructions
Copy discharge instructions
Discharge instructions
Summary of today findings
Problem treated and current stability
Key test results and what they mean
Dialysis plan
Next dialysis date and time
Missed treatments plan
Medications
Medication changes with dosing schedule
Avoid NSAIDs unless directed
Diet and fluids
Fluid limit per dialysis plan
Avoid high potassium foods until reviewed
Return to ED now
Chest pain
Severe shortness of breath
Fainting
Fever or shaking chills
Bleeding that will not stop from access
New confusion
Cloudy peritoneal fluid or severe abdominal pain
References
Guidelines and key sources
Hemodialysis vascular access guidelines
KDOQI Clinical Practice Guideline for Vascular Access 2019
Key recommendations local protocol dependent for catheter management
Peritoneal dialysis peritonitis guidelines
ISPD Peritonitis Recommendations 2022
Empiric intraperitoneal antibiotic principles
Hyperkalemia emergency management guidance
UK Kidney Association hyperkalemia guideline 2020
Emphasizes calcium for ECG changes and dialysis for definitive removal
Sepsis management guidance
Surviving Sepsis Campaign Guidelines 2021
Source control and early antibiotics principles
Source file
Formatting and structure requirements
Point of care checklist constraints
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.