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hypocalcemia is common abnormality after massive transfusion
related:
Hemeonc
,
massive transfusion protocol
tags: #hemeonc
blood products have citrate preservative that binds to endogenous calcium after transfusion, leading to
hypocalcemia
hypocalcemia can cause coagulopathy
don't wait for hypocalcemia on labs. Aim for mildly elevated calcium levels in massive transfusion
factor 4 deficiency
ibcc massive transfusion protocol
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Hypocalcemia
hypocalcemia
related:
Endocrine
,
Parathyroid
,
hypocalcemia after osteoporosis treatment
,
hypercalcemia
tags: #note
Causes
hyperphosphatemia: check ionized Ca.
IV bicarb can cause hypocalcemia and deposition of calcium phosphate in renal tubules
hypocalcemia is common abnormality after massive transfusion
Symptoms
mild: muscle cramps, tingling sensations
severe: seizure
long QT
Treatment
Usually do not need reple
Massive Transfusion Protocol
massive transfusion protocol
related:
transfusion medicine
,
Hemeonc
tags: #hemeonc
Ratio 1:1:1:1: pRBC, FFP, plt, cryo
hypocalcemia is common abnormality after massive transfusion
Literature Notes
ibcc massive transfusion protocol