Question

A 58-year-old man with chronic kidney disease stage 3b (eGFR 35 mL/min/1.73 m²) is found to have haemoglobin 95 g/L and microcytic indices. Iron studies show low ferritin. There is no evidence of bleeding. What is the most appropriate first-line treatment for his anaemia?

Accepted Answer

Oral ferrous sulfate once daily

Answer

Immediate red blood cell transfusion

Answer

Erythropoiesis-stimulating agent alone

Answer

High-dose intravenous iron in primary care without monitoring

Answer

No treatment is needed as anaemia is expected in CKD

Practice question

A 58-year-old man with chronic kidney disease stage 3b (eGFR 35 mL/min/1.73 m²) is found to have haemoglobin 95 g/L and microcytic indices. Iron studies show low ferritin. There is no evidence of bleeding. What is the most appropriate first-line treatment for his anaemia?