Wednesday, June 2, 2010

Wednesday June 2, 2010

Scenario: 52 year old male after emergent exploratory laparotomy is admitted to ICU. Patient has Lactated Ringer's solution going at 125 cc/hr. 2 units of pRBC were ordered. Why it is a bad idea to mix Lactated Ringer's solution and pRBC through same IV line?


Answer: Lactated Ringer's solution contains calcium which may bind to the citrate (use as anticoagulant) in blood products. This may promotes clot formation.

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