(精编)【体外膜肺ECMO精品课件】 Pediatric Transfusion Risks and Guidelines教学课件.pptVIP

Neonatal Tx- Glucose The anticoagulant preservative solution in a 450ml bag of CPDA-1 red cells contains 31grams of glucose. This yields over 600 mg/dL glucose concentration. Hyperglycemia is rarely of clinical significance, but post transfusion hypoglycemia may ensue due to stimulation of insulin secretion Neonatal Tx- Hypocalcemia The reason blood doesn’t clot in the bag following donation is complete chelation of Ca++ by citrate. Excess citrate is present to ensure complete chelation regardless of donor calcium level. Greatest risk of hypocalcemia: large volume transfusion to neonates (by