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What is your preferred iron loading strategy for patients with anemia of chronic kidney disease?

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What is your preferred IV iron loading strategy for patients with anemia of chronic kidney disease?

76 physicians have voted

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4 Answers
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Nephrology · Penn Medicine Cherry Hill
Answered on

I prefer to give ferumoxytol 510 mg X 2 doses of available.

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Nephrology · IU Health
Answered on

My preferred iron loading strategy for patients with iron-deficiency and non-dialysis dependent (NND) CKD is to administer 1 gm IV iron in a single infusion and have it paid for by the patient's health insurance. That excludes sodium ferric gluconate and iron sucrose which require 4-5 infusions to a...

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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

I will just discuss dialysis patients now as it would be very complicated to include CKD patients as well. I go by serum ferritin. I don't pay too much attention to transferrin saturation (T. sat). If a patient is anemic and their ferritin is lower than 600-800, I would give iron supplementation in ...

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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

I would not give iv iron to a patient with ferritin of 700 and t. sat of 40% who is not anemic. Looking for other causes of anemia is definitely fine but sometimes it is worth trying iv iron to see if we can improve serum hemoglobin level. I agree that where to draw the line (at what ferritin levels...

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