Iron Repletion in ESRD. Saleem Bharmal 2/9/10. Case. ESRD on maintenance hemodialysis who is noted to have a Hgb 10.6/TSAT 19%/Ferritin 617/iron 46/TIBC 238/on EPO 4000U/week What would you do in this situation in terms of ESA and iron?
Fishbane S., J. Am. Soc. Nephrol. 1996 2654-2657
Progressive increase in control group received ivID doses of 25 to 150 mg/wk for 6 months
serum ferritin to 658 ng/ml in the study group
Epoetin dose requirements for the study group decreased by the third month and remained 40% lower than for the control group