Question

The primary cause of anemia in dialysis patients is:

A. Abnormal red blood cell production,
B. The blood loss that occurs during the procedure,
C. Decrease in the production of erythropoietin, or
D. An inability to convert vitamin D

Answer 1

The primary cause of anemia in dialysis patients is a decrease in red blood cell production due to a deficiency in erythropoietin, not an inability to convert vitamin D.

Step-by-step explanation:

Anemia in dialysis patients is primarily due to a decrease in the production of red blood cells (RBCs), which can be attributed to a deficiency in erythropoietin, a hormone produced by healthy kidneys that stimulates RBC production. While vitamin D conversion issues might be a concern in overall bone and mineral management for dialysis patients, it is not the primary cause of anemia.

Instead, these patients often suffer from iron deficiency anemia or vitamin deficiency anemia (particularly vitamin B12 and folate), since their dietary intake can be limited and loss of nutrients can occur during dialysis. Supplementation, erythropoiesis-stimulating agents, and sometimes transfusions are used to manage this condition.