Question

A 72-year-old woman with chronic kidney disease and anaemia (Hb 9.5 g/dL) has ferritin 45 ng/mL and TSAT 18%. What is the best next step?

Accepted Answer

Oral or IV iron repletion first

Answer

Start erythropoiesis-stimulating agent (ESA) immediately

Answer

No therapy until Hb <8 g/dL

Answer

Blood transfusion

Answer

High-dose folate

Practice question

A 72-year-old woman with chronic kidney disease and anaemia (Hb 9.5 g/dL) has ferritin 45 ng/mL and TSAT 18%. What is the best next step?