What is your preferred iron loading strategy for patients with anemia of chronic kidney disease?
What is your preferred IV iron loading strategy for patients with anemia of chronic kidney disease?
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I prefer to give ferumoxytol 510 mg X 2 doses of available.
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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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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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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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