Anemia of chronic kidney disease (CKD)
- Check iron deficiency + other causes first
- Replete iron before/with ESA when needed
- ESA if significant anemia persists
- Goal is transfusion reduction—not normal Hb
- Higher Hb targets increase vascular risk
- HIF-PH inhibitors are another option in some pts
- Monitor Hb, iron indices + BP
Use at a glance
- Check iron deficiency + other causes first
Practical pearls
- Goal is transfusion reduction—not normal Hb
- HIF-PH inhibitors are another option in some pts
Choosing treatment
- Replete iron before/with ESA when needed
- ESA if significant anemia persists
Monitoring / follow-up
- Higher Hb targets increase vascular risk
- Monitor Hb, iron indices + BP
Self-check
- What is checked before treating CKD anemia?
Iron deficiency + other causes first. - What is the treatment goal in CKD anemia?
Transfusion reduction—not normal Hb.
Drugs used for this (3)
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