Question

A 64-year-old man with chronic kidney disease (eGFR 35 mL/min/1.73 m²) has a haemoglobin of 92 g/L with normocytic indices. Ferritin is 25 µg/L and transferrin saturation 15%. What is the MOST appropriate initial treatment of his anaemia?

Accepted Answer

Give oral iron supplementation and investigate for other causes of iron loss

Answer

Start erythropoiesis-stimulating agent immediately

Answer

Start packed red cell transfusion

Answer

No treatment is required until Hb <70 g/L

Answer

Begin high-dose folic acid

Practice question

A 64-year-old man with chronic kidney disease (eGFR 35 mL/min/1.73 m²) has a haemoglobin of 92 g/L with normocytic indices. Ferritin is 25 µg/L and transferrin saturation 15%. What is the MOST appropriate initial treatment of his anaemia?