A 64-year-old woman with stage 4 chronic kidney disease (eGFR 23 mL/min/1.73 m²) has normocytic anaemia with Hb 88 g/L and low ferritin. She is breath...

Question

A 64-year-old woman with stage 4 chronic kidney disease (eGFR 23 mL/min/1.73 m²) has normocytic anaemia with Hb 88 g/L and low ferritin. She is breathless on exertion. What is the most appropriate next step in management?

Accepted Answer

Give oral or intravenous iron replacement and consider erythropoiesis-stimulating therapy

Answer

Start erythropoiesis-stimulating agent without iron

Answer

Offer immediate blood transfusion

Answer

Do nothing as this is expected in CKD

Answer

Start high-dose oral folic acid alone

uk-plab-1 MCQ (SBA): Anaemia in chronic kidney disease

A 64-year-old woman with stage 4 chronic kidney disease (eGFR 23 mL/min/1.73 m²) has normocytic anaemia with Hb 88 g/L and low ferritin. She is breathless on exertion. What is the most appropriate next step in management?