PMID: 42867Jan 1, 1979

Conservative treatment of chronic renal insufficiency in children

Paediatrician
M Broyer

Abstract

Conservative management of chronic renal failure in children is essentially based on dietary prescription including recommendations for high caloric intake and a certain limitation of protein intake according to GFR in order to avoid any extra loading with nitrogen wastes. Prescriptions for sodium potassium and water have to be adjusted on their residual output. Prevention of osteodystrophy needs supplement of calcium, chelation of phosphorus with aluminium hydroxide and the prescription of vitamin D or its active derivatives. High blood pressure when present must be carefully controlled. Drugs, when necessary, have to be given with a dosage taking into account the level of renal failure. Finally, the mode of life of the uremic child should be as close to normal as possible.

Related Concepts

Calcium [EPC]
Derivatives
Kidney Failure
Calcium
Chronic Kidney Insufficiency
Ergocalciferol
Renal Osteodystrophy
Potassium
Phosphate Measurement
Red Phosphorus

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