A 63-year-old woman with CKD 4 (eGFR 24) and anemia Hgb 9.1 g/dL, ferritin 45 ng/mL, TSAT 17%. Best initial therapy?...

Question

A 63-year-old woman with CKD 4 (eGFR 24) and anemia Hgb 9.1 g/dL, ferritin 45 ng/mL, TSAT 17%. Best initial therapy?

Accepted Answer

Iron repletion (prefer IV in advanced CKD) before ESAs

Answer

Start ESA immediately without iron

Answer

No therapy until Hgb

Answer

Transfuse now

Answer

High-dose vitamin C

us-abim MCQ (SBA): CKD Anemia (Iron First)