A postoperative client received six units of packed red blood cells (PRBCs)for intraoperative blood loss.The nurse monitors the client for which acid-base imbalance?

Question

Quizplus · Accepted Answer

Citrate is a substance used as a preservative in blood products.It is not only a base,it is also a precursor for bicarbonate (bicarbonate can be formed from citrate).Rapid administration of blood products can cause metabolic alkalosis by infusing large amounts of citrate intravenously.Although this problem is more likely to occur with administration of whole blood or blood plasma,multiple transfusions with packed red cells can also result in excessive amounts of citrate being received by the client.

A Postoperative Client Received Six Units of Packed Red Blood