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Surgery General 2ef81315

On massive blood transfusion the following complication occurs-

A
Respiratory acidosis
B
Metabolic acidosis
C
Metabolic alkalosis
D
Respiratory alkalosis
High-Yield Explanation
Answer- C. Metabolic alkalosisBanked blood has a pH of 6.8 and is acidotic.After massive transfusion citrate in the stored blood is conveed into bicarbonate resulting in metabolic alkalosis.Other complications are-HypokalemiaHypothermiaHypocalcemiaRef: Transfusion Medicine and Hemostasis: Clinical and Laboratory Aspects By Christopher D. Hillye, Page 291 ; Yao and Ausio's Anesthesiology: Problem-Oriented Patient Management By Fun-Sun F. Yao, 6th Edition, Page 1148

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