This guy has a normocytic anemia with evidence of kidney damage (increased Cr). According to UW, CKD can be assumed in a patient with high Cr and uncontrolled hypertension (which is evident in this dude that hasn't been to the doctor in years and has a 150/98 BP).
Also straight from UW: CKD is commonly associated with normocytic anemia 2/2 reduced production of EPO by the kidneys. Therefore, the most appropriate therapy is erythropoietin.
destinyschildI also thought about transfusing, but then thought that might cause iron overload since he's also getting iron supplements. I'm not sure if iron overload is a possibility w EPO. Please correct me if I am wrong+
drjoTransfusion is only indicated when hemoglobin is < 7g/dL
& this tx is usually reserved for critically ill patients+5
submitted by โootscoot(34)
This guy has a normocytic anemia with evidence of kidney damage (increased Cr). According to UW, CKD can be assumed in a patient with high Cr and uncontrolled hypertension (which is evident in this dude that hasn't been to the doctor in years and has a 150/98 BP).
Also straight from UW: CKD is commonly associated with normocytic anemia 2/2 reduced production of EPO by the kidneys. Therefore, the most appropriate therapy is erythropoietin.