Question

A 68-year-old man with stage 4 CKD has Hb 88 g/L, MCV 88 fL, ferritin 250 µg/L and transferrin saturation 28%. He has no overt bleeding. What is the most appropriate next step in managing his anaemia?

Accepted Answer

Start erythropoiesis-stimulating agent (ESA) after excluding other causes

Answer

Start oral iron supplementation

Answer

Arrange urgent colonoscopy for occult bleeding

Answer

Transfuse 2 units of packed red blood cells

Answer

Start folic acid 5 mg daily

Practice question

A 68-year-old man with stage 4 CKD has Hb 88 g/L, MCV 88 fL, ferritin 250 µg/L and transferrin saturation 28%. He has no overt bleeding. What is the most appropriate next step in managing his anaemia?