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[Conservative therapy of chronic kidney failure]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|June 1, 1978
Summary
Conservative therapy for chronic renal insufficiency requires patient, dietitian, and physician collaboration. Dietary adjustments, including protein restriction, are key to managing kidney function and potentially delaying dialysis.
Area of Science:
- Nephrology
- Internal Medicine
- Dietetics
Context:
- Chronic renal insufficiency management requires a multidisciplinary approach.
- Conservative therapy focuses on symptomatic treatment and dietary interventions.
- Nephrological care centers ensure continuous patient monitoring.
Purpose:
- To outline the principles of conservative therapy for chronic renal insufficiency.
- To emphasize the role of dietetic measures in managing renal insufficiency.
- To highlight symptomatic treatments and their impact on patient outcomes.
Summary:
- Optimal conservative therapy for chronic renal insufficiency (CRI) hinges on strong patient-dietitian-physician cooperation.
- Dietary management, including protein restriction (e.g., moderate at 4 mg/100ml creatinine, severe at 8 mg/100ml), calorie intake (35-40 kcal/kg/day), fluid balance, electrolytes, and vitamins, forms the cornerstone of treatment.
- Symptomatic medical interventions complement dietary strategies to alleviate CRI symptoms, potentially delaying the need for dialysis and improving quality of life.
Impact:
- Conservative therapy can significantly delay the need for dialysis in patients with chronic renal insufficiency.
- Improved patient rehabilitation and extended lifespan are achievable outcomes.
- This approach offers a viable management strategy for patients not candidates for active or aggressive therapies.