Which of the following is triad of complication of massive blood transfusion: March 2011, March 2012
Alkalosis, hypothermia, coagulopathy
Alkalosis, hypehermia, coagulopathy
Acidosis, hypehermia, coagulopathy
Acidosis, hypehermia, coagulopathy
Ans. A: Alkalosis, hypothermia, coagulopathy Complications usually seen with massive blood transfusion are 1) hyperkalemia, 2) hypocalcemia, 3) hyperammonemia, 4) hypothermia, 5) metabolic alkalosis (because one molecule of citrate liberates 3 molecule of bicarbonate), 6 )dilutional coagulopathies and DIC (most worrisome problem after massive transfusion and is the usual cause of death after massive blood transfusion) and 7) ARDS