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Pathology General d2c8dc20

Which of the following complications is likely to result after several units of blood have been transfered?

A
Metabolic acidosis
B
Metabolic alkalosis
C
Respiratory alkalosis
D
Respiratory acidosis
High-Yield Explanation
Massive transfusion is defined as the need to transfere one to two times the patients normal blood volume or >50% of blood volume wihtin 3 hours. In a normal adult, this is equivalent 10-20 units Most common abnormality is metabolic alkalosis. It results from the conversion of citrate (present in stored blood) and lactate (accumulated due to hypoperfusion) to bicarbonate.

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