A 30-year-old man admitted for multiple injuries following an accident receives 8 units of packed RBCs (PRBCs). What is the most likely ABG finding in this patient?
Correct Answer: Metabolic alkalosis
Description: Excessive Blood Transfusion leads to Metabolic Alkalosis. Reason - Citrate is used as an anticoagulant in blood bags. Excessive blood transfusion leads to citrate excess in body. This citrate is conveed to bicarbonate in the liver. This leads to metabolic alkalosis. Other complications include - Hypothermia (MC) Hyperkalemia The presence of citrate toxicity will lead tohypocalcemiaas citrate and calcium will chelate. Dilutional thrombocytopenia explains the coagulopathy component.
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