- Complications Of Blood Administration

 

Acidosis:

   
   

Banked blood has a low pH of 6 or even less.  This is due to the citrate which is used to keep the blood from turning to mud (its an anti-coagulant).  Also, the RBCs of banked blood are not attached to any lungs, so they must engage in anaerobic metabolism (in order to survive), and this leads to the build up of lactic acid.  The fix is to give Sodium Bicarbonate based on the patient's ABG results.  

 

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Copyright 2009, Samos Alixopulos, ICU RN