Anemia Management In Chronic Kidney Disease

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Anemia Management In Chronic Kidney Disease

• Paul Crawford, M.D., F.A.C.P.
• Associates in Nephrology
• Chairman of the Minority Intervention Kidney
  Education (MIKE) Program of the American Kidney
  Fund
• Medical Director of the Evergreen Park Fresinius
  Medical Care Dialysis Unit
• Member of the National Anemia Action Council
  (NAAC)
• April 27, 2005
• National Minority Health Month Foundations 2005
  Annual National Health Disparities Summit

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Anemia Begins Early in CKD
Serum Creatinine (mg/dl)
Kazmi, JASN, submitted Greater Boston Area Chart
Audit
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Anemia is a Mortality Risk Multiplier
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Majority of CRI Patients are Anemic at First
Nephrology Visit
Hematocrit at the First Nephrology Visit
Greater Boston Area Chart Audit
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Strategies to Optimize Management of CKD Anemia

• Identify patients with falling hematocrit
• Measure serum iron, ferritin and transferrin
  sats.
• Begin oral iron supplements
• Start EPO subQ weekly
• Increase Hct no faster than 2/month
• Target Hct of 33-36
• Measure serum iron, transferrin saturation after
  first month and every three months
• thereafter
• Close monitoring of BP and progression of CRF

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