Acute Renal Failure: Therapy

Therapy for acute renal failure (ANV) must include therapy for the underlying disease.

General measures

  • Drug withdrawal
  • Nicotine restriction (refraining from tobacco use), as harmful to the kidneys!
  • Avoid hyperglycemia (hyperglycemia).
  • Review of permanent medication due topossible effect on the existing disease: discontinue all nephrotoxic drugs (if possible).
  • Avoidance of environmental stress:
    • Metals (cadmium, lead, mercury, nickel, chromium, uranium).
    • Halogenated hydrocarbons (HFCs; trichloroethene, tetrachloroethene, hexachlorobutadiene, chloroform).
    • Herbicides (paraquat, diquat, chlorinated phenoxyacetic acids).
    • Mycotoxins (ochratoxin A, citrinin, aflatoxin B1).
    • Aliphatic hydrocarbons (2,2,4-trimethylpentane, decalin, unleaded gasoline, mitomycin C).
    • Melamine

Conventional non-surgical therapy methods

  • Dialysis (renal replacement therapy)

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following special dietary recommendations:
    • In general, the diet should be low in protein (low protein), but due to the risk of malnutrition, protein intake should not be reduced too drastically.
    • Fluid and electrolyte balancing
  • Selection of appropriate foods based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.