Elderly people with renal failure need to take general measures, drug therapy, renal replacement therapy and other ways to standardize treatment. 1. General measures: patients need to actively supplement nutrition to maintain the nutritional status of the body and normal metabolism. Diet needs to limit the intake of salt, protein, potassium and phosphorus, adjust the dietary structure, and rationalize the diet. 2. Drug therapy: patients need to follow the doctor’s instructions to use furosemide, sodium bicarbonate and other drugs to correct the water, electrolyte and acid-base balance imbalance. If there is hyperphosphatemia, patients need to use calcium carbonate, lanthanum carbonate and so on. If there is anemia, it is necessary to give polysaccharide iron, erythropoietin, roxarestat and other treatments. 3. Renal replacement therapy: Clinical treatments for severe renal failure include peritoneal dialysis, hemodialysis, etc., which to a certain extent can alleviate the symptoms, slow down the development of the disease and improve the quality of life. If the patients are eligible and their financial status is acceptable, kidney transplantation can be considered. All in all, the elderly with kidney failure need to do early detection, early diagnosis, early treatment, if the treatment is timely, can effectively delay the development of the disease. Elderly patients with renal failure, it is recommended that regular hospitals, under the guidance of physicians standardized treatment.