Ask The Expert: Question Archive

Appropriate Hematocrit Levels for Patients to Receive Iron Supplementation

NAAC Q&A Published: September 15, 2005

Question:
Is iron supplementation (PO or IV) required when the hematocrit has achieved the target (36%-38%) in dialysis patients receiving erythropoietin?

NAAC Expert Response:
By NAAC Past President and Nephrologist Allen R. Nissenson, MD.
If the TSAT is <20 or the serum ferritin is <100, I would give iron even if the hematocrit is in the target range. There are independent adverse effects of iron deficiency separate from the effect on anemia.

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Last Updated: November 19, 2009