[Conservative therapeutic possibilities in chronic renal failure].

The three main points of the conservative therapy of the chronic renal insufficiency are the treatment of the basic disease, the dietary therapy and the symptomatic medicamentous measures. The possibilities of treatment of the basic disease, however, are restricted in advanced renal insufficiency, but they may reduce the progression of the nephropathy. Decisive for the success of the conservative therapy are the dietary measures, in which case the restriction of the quantity of proteins with consideration of the biological value, the caloric intake of at last 35 Cal/kg body weight/day and the equalized fluid balance must be particularly emphasized. The different possibilities of the protein restriction and possibilities of control of the protein metabolism are explained. Depending on the degree of the chronic renal insufficiency and the present clinical symptomatology symptomatic medicamentous measures are used. Following in indications for the beginning of the therapy of dialysis it is referred to the importance of the system of renal dispensaries for the optimum performance of the conservative therapy.