title: [Conservative treatment in chronic kidney insufficiency].
abstract: Modern therapeutic concepts of chronic renal insufficiency are based on observations showing a retardation of progressive renal failure by therapeutic measures. In the context emphasis is now placed on the treatment of arterial hypertension and on the patient's adherence to a protein-restricted diet. In addition to these conservative measures it is important to avoid nephrotoxins, to hydrate the patient sufficiently and to treat advanced hyperlipidemias. Deficiencies of active vitamin D should be treated by oral vitamin D substitution after correction of hyperphosphatemia. In the treatment of the latter, preparations of calcium carbonate are now the preferred mode of treatment. In advanced renal insufficiency it is important to maintain a salt-restricted diet and to treat any attendant hyperkalemia and hyponatremia.
authors.affiliation: Abteilung für Allgemeine Innere Medizin und Nephrologie, Klinikum Steglitz, Freien Universität Berlin.
authors.forename: P
authors.initials: P
authors.lastname: Gross
authors.forename: D
authors.initials: D
authors.lastname: Siewerdt
authors.forename: A
authors.initials: A
authors.lastname: John
mesh_terms: D004044:Dietary Proteins; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D006949:Hyperlipidemias / Q000628:therapy; D006977:Hypertension, Renal / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000150:complications / Q000178:diet therapy / Q000628:therapy*; D014807:Vitamin D / Q000627:therapeutic use; D014883:Water-Electrolyte Imbalance / Q000628:therapy
chemical_list: D004044:Dietary Proteins; D014807:Vitamin D
vernacular_title: Konservative Behandlung bei chronischer Niereninsuffizienz.