Question

A 70-year-year-old man with CKD G3b has serum ferritin 18 ng/mL and transferrin saturation 10%. He is symptomatic from anemia (Hb 9.8 g/dL). What is the appropriate initial approach?

Accepted Answer

Treat iron deficiency; oral or IV iron depending on tolerance and absorption

Answer

Start epoetin alfa immediately without iron

Answer

Transfuse to Hb >12 g/dL

Answer

No iron therapy if ferritin <30 ng/mL

Answer

Start vitamin B12 injections

Practice question

A 70-year-year-old man with CKD G3b has serum ferritin 18 ng/mL and transferrin saturation 10%. He is symptomatic from anemia (Hb 9.8 g/dL). What is the appropriate initial approach?