Reel and deal those calcium salts in massive transfusion protocol.
Reel and deal those calcium salts in massive transfusion protocol. Calcium salts are arguabely one of the most important pharmacologic agents in massive transfusion protocols. The lethal triad, hypothermia, acidosis, and coagulopathy, drives our rescuscitation efforts. Hypocalcemia occurs during blood transfusions since they contain citrate, which binds to calcium. If not corrected, hypocalcemia in MTP is associated with increased mortality. Calcium replacement promotes organ function, serve as a co-factor for completing of clotting factors, and shortens time to clot formation in the setting of MTP. Remember, Calcium chloride 1gm is equivalent to calcium gluconate 3gm. You should be giving 1gm of calcium chloride equivalent with each cooler of blood or PRN to maintain an ionized calcium of around 1. Want to learn more about PHARMWYZE? Visit my website, links in the bio. The ALL PHARMWYZE SOURCE (including references) www.pharmwyze.com Follow @pharmwyze on your favorite social media platform #mtp #calcium #rescuscitation #pharmwyze #pharmfax #emergencymedicine #criticalcare #nursing #medicine #pharmacy Not medical advice. Educational purposes only. No relationships to report. I hope you learned something new.
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