Exam 2 Renal: CKD Anemia (Tues)

Which of the following stages for iron deficiency anemia is correct?

Iron toxicity is more common in children

Parenteral iron therapy is for patients with extensive chronic blood loss who cannot be maintained w/oral iron alone

Ferric salts have higher BA compared to ferrous salts

Which has a formulation that’s the elemental form of iron and has less GI effects due to slow absorption

Spelling Bee Time: which of the following contains water, it’s cheap and is an OTC option(not the same dose though) ?

Why is it advised against giving ESA when Hgb 11-12 vs 10g/dL?

You should discontinue ESA when Hgb goes above what?

Tx w/ oral iron should be continued 3-4 months after correction of the cause of iron loss.

True or functional iron deficiency: usually found in tunneled dialysis catheter.

Erythropoiesis is stimulated by?

In iron deficiency in CKD anemia it can be classified as true or false iron deficiency

Anemia typically occurs as early as what stage of CKD ?

Effects of anemia include: tissue hypoxia/necrosis, low blood osmolarity, and low blood viscosity

True or functional iron deficiency: usually associated with inflammation and infection

Goal of treatment is to increase Hgb by 1-2 g/dL per month if on ESA therapy.

A patient comes in and tells you that they are low on funds which of the following would be inappropriate for this pt?

ESAs are indicated to increase HgB to decrease likelihood of infusion

Which of the following falls under the criteria needed in order to initiate ESA?

Iron sorbitol citrate is the only IM parenteral iron

True or functional iron deficiency: TSAT <20% and serum ferritin <100-200 ng/mL

When a patient has anemia which of the following is correct?

A MCV <80 fL signifies what?

Side effects of oral iron supplements are often dose related to fix this you take with meals, after, or lower dose

True or functional iron deficiency can both be found in hemodialysis pts most common is true iron deficiency

Which of the following is a therapy for hemodialysis dependent pts and added to hemodialysate ?

Which of the following would be a treatment for B12 deficiency?

How many mg of the dextran for the test dose be given?

True or functional iron deficiency: w/ inadequate total bone and bone marrow iron

According to NKF KDOQI guidelines they recommend the evaluation of anemia of CKD begin in pts w/?

MCV refers to cell shape and MCH refers to the color.

Iron supplementation is indicated when ?

Which of the following adverse effects of ESAs need to be monitored?

True or functional iron deficiency: TSAT 15-25% serum Ferritin >300-500 ng/mL

Which of the following is not a sign or symptom in CKD anemia?

Under work up for anemia: Screening should be done annually in pts with CKD

Which of the following would be a pill burden on the patient?

Which of the following is not a cause of anemia in CKD pts

For iron dextran a small test dose should be done before full administration due to risk of hypersensitivity

In anemia of CKD erythropoietin production is ____ as renal fxn decreases therefore ____ reticulocytes are produced