What laboratory tests are essential before dialysis?

The most comprehensive and essential laboratory tests before dialysis involve evaluating serum electrolytes, blood urea nitrogen (BUN), creatinine, and the complete blood count. These tests provide crucial insights into a patient's overall health and kidney function.

Serum electrolytes, including sodium, potassium, calcium, and bicarbonate, are vital to assess because they play critical roles in maintaining fluid balance, nerve function, and muscle function. Abnormal levels can lead to severe complications during dialysis.

BUN and creatinine are specific indicators of kidney function. Elevated levels of BUN and creatinine suggest impaired kidney function and the necessity for dialysis. Monitoring these parameters helps healthcare providers determine the urgency and appropriateness of initiating dialysis treatment.

The complete blood count (CBC) is equally important, as it evaluates various components of the blood, including red blood cells, white blood cells, and platelets. This information can identify anemia, infection, or other hematologic issues that need to be addressed before proceeding with dialysis.

The inclusion of all these tests ensures that a thorough assessment of the patient's condition is made, allowing for safer and more effective dialysis treatment.