Initiation of Dialysis depends mainly on symptoms like decreased Appetite, altered sleep pattern, decreased urine output, difficulty in breathing, severe fluid accumulation in the body -which are not responding medication, lab values are not the only one which decide dialysis initiation.. Therefore follow CKD diet, medication adherence, watch fluid intake, no over the counter drugs esp. pain killers, watch for symptoms Repeat RFT, serum electrolytes monthly

She will require dialysis in due course of disease What’s her urine output a day