The "A-E-I-O-U" mnemonic can be used to remember some common indications for initiating dialysis in patients with acute kidney injury. Each letter in "A-E-I-O-U" represents a specific indication.
Severe metabolic acidosis that cannot be corrected through other means may necessitate dialysis to restore the body's acid-base balance.
E. Electrolyte imbalance.
Dangerous levels of electrolytes such as potassium (hyperkalemia) or sodium (severe hyponatremia) that do not respond to medical management might require dialysis.
I. Intoxication or drug overdose.
Some toxins, such as methanol, ethylene glycol, or medications, such as salicylates, lithium, can accumulate in the body due to kidney dysfunction. Dialysis can help remove these substances and prevent further harm.
O. Overload of fluids.
When the body retains excessive fluid that cannot be managed with diuretics, dialysis may be needed to remove the excess fluid and maintain fluid balance.
Uremia refers to the buildup of waste products in the blood due to impaired kidney function. Symptoms can include nausea, vomiting, confusion, and other signs of advanced kidney failure. Dialysis can help remove these waste products and alleviate symptoms.