A 70-year-old woman with CKD stage 4 (eGFR 25 mL/min/1.73m²) is found to have a haemoglobin of 95 g/L. Her iron studies show: Ferritin 30 µg/L (low), ...

Question

A 70-year-old woman with CKD stage 4 (eGFR 25 mL/min/1.73m²) is found to have a haemoglobin of 95 g/L. Her iron studies show: Ferritin 30 µg/L (low), Transferrin saturation 15% (low). What is the most appropriate initial management for her anaemia according to NICE guidelines?

Accepted Answer

Oral iron supplementation (e.g., ferrous sulfate)

Answer

Intravenous iron infusion

Answer

Erythropoiesis-stimulating agent (ESA) therapy

Answer

Blood transfusion

Answer

Referral to haematology

ukmla MCQ (SBA): Chronic Kidney Disease (Anaemia Management)

A 70-year-old woman with CKD stage 4 (eGFR 25 mL/min/1.73m²) is found to have a haemoglobin of 95 g/L. Her iron studies show: Ferritin 30 µg/L (low), Transferrin saturation 15% (low). What is the most appropriate initial management for her anaemia according to NICE guidelines?