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Initial Comprehensive Dialysis Assessment Panel (Serum and Urine)

Published: August 9, 2026Updated: August 16, 2026

This test panel helps your healthcare team evaluate your kidney function and overall health before you begin dialysis for the first time. It includes blood and urine tests to check for conditions that may affect your treatment.

Quick summary

This panel ensures your safety and readiness for dialysis by identifying key health markers early.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
64328-8
Short code
INCENTERPATIENTSSTARTINGDIALYSISFORFIRSTTIMEEVER
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

Your blood sample will be tested for several key substances that reflect kidney function, fluid balance, and other critical health indicators. These may include electrolytes (like sodium, potassium, and calcium), waste products (like creatinine and urea), and markers of organ health (such as liver enzymes or blood sugar levels). Some tests may also check for anemia or inflammation. Your urine sample may be analyzed for protein, glucose, or other substances to assess kidney damage or diabetes-related kidney issues.

Why It Matters Before Dialysis

These tests help determine if your kidneys are failing sufficiently to require dialysis and whether any underlying conditions (like high blood pressure, diabetes, or heart disease) need to be managed before starting treatment. They also help your doctor personalize your dialysis plan.

Common Blood Tests Included

Blood tests may include measurements of electrolytes (e.g., sodium, potassium), kidney function markers (e.g., creatinine, blood urea nitrogen), liver function tests, and markers of anemia or inflammation. Some tests may also check for blood sugar levels or protein levels in your blood.

Common Urine Tests Included

Urine tests may include checking for protein (to detect kidney damage), glucose (to screen for diabetes), or other substances that could indicate kidney issues or metabolic problems.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This panel is critical for identifying conditions that may impact your ability to tolerate dialysis or require pre-treatment adjustments. For example, high potassium or fluid overload could be dangerous before dialysis begins, while low hemoglobin might indicate the need for additional anemia management. The results help ensure your dialysis treatment is safe and effective from the start.

Short name

Dialysis Start Panel

Frequently asked questions

Will I need to prepare for this test?
You may need to fast for some blood tests (usually 8–12 hours before), but urine tests often require collecting all urine for a 24-hour period. Follow your doctor’s specific instructions to ensure accurate results.
How long will I have to wait for my results?
Results may take several days to a week, depending on lab processing and your healthcare provider’s workflow. Your doctor will discuss the findings with you once they are ready.
Can I still eat or drink normally before this test?
For blood tests requiring fasting, avoid food and liquids (except water) for the specified period. For urine tests, follow your doctor’s instructions on fluid intake and collection timing.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy