Dear experts , I 'm asking about a patient , 57 years old . She is diagnosed as ESRD , CKD stage 5 , GFR = 13 ML/M , after long standing diabetes 40 years ago , hypertension 2 years ago. now her last serum creatinine = 3.4 mg/dl , blood urea = 205 mg/dl , k = 4.4 meq/l the patient is hypotensive ( on antihypertensives) , with no lower limb edema or lung crackles. The patient has urinary catheter giving 3000 liters/day while her input is the same ( as mentioned by her family ) her weight is 57 kg . the question is should we start dialysis on these parameters or should we treat her dehydration first as a cause of her hyperuremia? thank you .