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Anemia
Why kidney patients get anemic — iron first, or injections?
Always tired, breathless on the stairs? Anemia is common in kidney disease, but the order of treatment matters.
- 1The kidneys make erythropoietin (EPO); as function falls, EPO drops and red cells decline. Definition: hemoglobin <13 g/dL in men, <12 in women.
- 2Symptoms: fatigue, breathlessness, feeling cold, dizziness, poor concentration, fast heartbeat — often dismissed as "just age" or "overwork".
- 3Check iron first: transferrin saturation (TSAT) and ferritin. If iron is low, replace it (oral or IV) — many people improve on iron alone.
- 4Erythropoiesis-stimulating agents (ESAs) are not meant to normalise Hb: guidelines advise not deliberately exceeding 11.5 g/dL and avoiding >13, because higher targets raise stroke and clot risk.
- 5Anemia may have another cause: stomach ulcer or bowel bleeding, B12/folate deficiency, inflammation — guidelines say rule these out rather than blaming the kidneys for everything.
Ask at your visit: "Is my iron sufficient? What is my Hb target? Should we rule out other bleeding?"
Bildunterschrift (direkt einfügbar)
Always tired, breathless on the stairs? Anemia is common in kidney disease, but the order of treatment matters. 1. The kidneys make erythropoietin (EPO); as function falls, EPO drops and red cells decline. Definition: hemoglobin <13 g/dL in men, <12 in women. 2. Symptoms: fatigue, breathlessness, feeling cold, dizziness, poor concentration, fast heartbeat — often dismissed as "just age" or "overwork". 3. Check iron first: transferrin saturation (TSAT) and ferritin. If iron is low, replace it (oral or IV) — many people improve on iron alone. 4. Erythropoiesis-stimulating agents (ESAs) are not meant to normalise Hb: guidelines advise not deliberately exceeding 11.5 g/dL and avoiding >13, because higher targets raise stroke and clot risk. 5. Anemia may have another cause: stomach ulcer or bowel bleeding, B12/folate deficiency, inflammation — guidelines say rule these out rather than blaming the kidneys for everything. Ask at your visit: "Is my iron sufficient? What is my Hb target? Should we rule out other bleeding?" Quellen: KDIGO 2012 Clinical Practice Guideline for Anemia in CKD — Kidney Int Suppl 2012;2:279–335; KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314 Geprüft am: 2026-10-16 Karten und Skripte sind allgemein gehaltene Gesundheitsinformationen, zusammengestellt auf Basis öffentlicher klinischer Leitlinien. Sie stellen keine individuelle medizinische Beratung dar und ersetzen nicht die Beurteilung durch Ihre Ärztin bzw. Ihren Arzt, Ihre Apothekerin bzw. Ihren Apotheker oder Ihre Ernährungsberaterin bzw. Ihren Ernährungsberater. Bitte lassen Sie beim Weitergeben die Quellenangaben und diesen Hinweis unverändert; maßgeblich ist stets die jeweils aktuellste Fassung auf dieser Seite. https://beyondckd.com/de/cards/anemia-in-ckd
60‑Sekunden-Kurzvideo-Skript
Einstellungsplan und Voice-over. Vertikal 9:16; Untertitel vorzugsweise im unteren Drittel platzieren. Jede Zeile ist den Quellen in der linken Spalte zugeordnet.
| Sek. | Bild | Voice-over |
|---|---|---|
| 0–5 | Breathless on stairs, pale face | Always tired, breathless after two flights of stairs? With kidney disease, that may well be anemia. |
| 5–16 | Kidney → EPO → red cells; "Hb <13 men / <12 women" | The kidneys make erythropoietin, EPO. As function falls, EPO runs short and red cells decline. Hemoglobin under 13 in men or 12 in women counts as anemia. |
| 16–25 | Symptom icons: tired, breathless, cold, dizzy | Fatigue, breathlessness, feeling cold, dizziness, poor concentration, a racing heart — often put down to age or overwork. |
| 25–36 | Blood test "TSAT, ferritin" → iron | Check iron first: transferrin saturation and ferritin. If iron is low, replace it, by mouth or IV — many people improve on iron alone. |
| 36–47 | ESA injection + scale "≤11.5, avoid >13" | ESAs are not meant to bring hemoglobin back to normal. Guidelines advise not exceeding 11.5 and avoiding above 13, because higher levels raise stroke and clot risk. |
| 47–55 | Stomach, bowel, B12 icons | Anemia can also come from a stomach ulcer, bowel bleeding, B12 or folate deficiency, inflammation. Guidelines say rule those out first. |
| 55–60 | Site logo + URL + QR | Ask at your visit: is my iron enough? More at Beyond CKD. |
Quellen (jeder Punkt auf der Karte lässt sich zuordnen)
- KDIGO 2012 Clinical Practice Guideline for Anemia in CKD — Kidney Int Suppl 2012;2:279–335
- KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314
Geprüft am: 2026-10-16