Question

A 70-year-old woman with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m2) is found to have haemoglobin 95 g/L. Iron studies show low ferritin and low transferrin saturation. Which is the most appropriate first-line treatment?

Accepted Answer

Intravenous iron infusion

Answer

Oral iron supplementation

Answer

Erythropoiesis-stimulating agent alone

Answer

Blood transfusion

Answer

No treatment until haemoglobin falls below 80 g/L

Practice question

A 70-year-old woman with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m2) is found to have haemoglobin 95 g/L. Iron studies show low ferritin and low transferrin saturation. Which is the most appropriate first-line treatment?