A 50-year-old man with chronic kidney disease stage 4 (eGFR 25 mL/min/1.73m$^2$) secondary to diabetic nephropathy presents with fatigue. Blood tests ...

Question

A 50-year-old man with chronic kidney disease stage 4 (eGFR 25 mL/min/1.73m$^2$) secondary to diabetic nephropathy presents with fatigue. Blood tests show Hb 9.5 g/dL, MCV 88 fL, Ferritin 30 ng/mL (low), TSAT 15% (low). Iron studies confirm iron deficiency. What is the most appropriate initial management for his iron deficiency anaemia according to NICE NG233?

Accepted Answer

Intravenous iron infusion (e.g., Ferric carboxymaltose)

Answer

Oral ferrous sulfate

Answer

Oral ferrous fumarate

Answer

Blood transfusion

Answer

Erythropoiesis-stimulating agent (ESA)

ukmla MCQ (SBA): Iron Deficiency Anaemia in CKD