**Treatment**

The treatment depends on the symptoms and the diameter of the effusion. A small scale asymptomatic effusion does not usually necessitate taking urgent measures. Those having a large amount of pericardial fluid may need to undergo an urgent drainage by way of pericardiotomy if it is hemodynamically unstable or an intensive hemodialysis therapy for 7 to 14 days and avoidance of heparinization during hemodialysis if it is hemodynamically stable. Glucocorticoid and non-steroidal anti-inflammatory drugs are usually ineffective (Banerjee& Davenport,2006; Shastri &Sarnak,2010). In uremic pericarditis, a response can be obtained from an intensive hemodialysis therapy in >85% (76-100%) of the patients and in dialysis-related pericarditis, in <60% (12.5-66%) of the patients (Alpert & Ravenscraft,2003).
