Exam questionKROK 2Medicine ยท 2012
A 42-year-old patient with acute hemorrhage and class III blood loss underwent blood transfusion and got 1,8 l of preserved blood and erythromass of the same group and Rh. After the transfusion the patient complained of unpleasant retrosternal sensations, his arterial pressure dropped to 100/60 mm Hg, there appeared convulsions. Blood serum calcium was at the rate of 1,7 millimole/liter. What is the mechanism of this complication development?
Answer options
- The increased citrate rate causes convulsions
- Citrate binds potassium causing severe hypokalemia
- Citrate binds calcium ions, hypocalcemia impairs myocardial function
- Citrate is cardiotoxic and nephrotoxic
- Citrate causes the development of metabolic acidosis
Correct answer
Citrate binds calcium ions, hypocalcemia impairs myocardial function
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