Question

A 58-year-old with chronic kidney disease and anemia (Hgb 7.8 g/dL) reports chest discomfort with exertion. Strategy?

Accepted Answer

Consider transfusion given symptoms and Hgb <8 g/dL with cardiovascular symptoms

Answer

Restrict transfusion to Hgb <6 g/dL

Answer

Transfuse to Hgb >11 g/dL routinely

Answer

Avoid transfusion in CKD regardless of symptoms

Answer

Platelet transfusion instead

Practice question

A 58-year-old with chronic kidney disease and anemia (Hgb 7.8 g/dL) reports chest discomfort with exertion. Strategy?