Effects of Exchange Blood Transfusion on Serum Electrolytes, Calcium and Phosphorus among Neonates with Jaundice
Abstract
Summary: The effects of exchange blood transfusion (EBT) on serum electrolytes, calcium and inorganic phosphorus were studied in 30 infants with neonatal jaundice. The study revealed a higher serum sodium, potassium and phosphorus in the donor blood samples than in the samples obtained from all the infants at the beginning, during and at the end of EBT (p<0.001). There were also significantly lower (p<0.001) chloride and bicarbonate in the donor blood than in the infants' blood during the procedure. During the transfusion, no abnormal electrolyte pattern was observed, although there were changes in the serum concentration of calcium and phosphorus due, perhaps, to calcium gluconate which was administered routinely during the procedure. It is suggested that administration of calcium gluconate during EBT is unnecessary and may, in fact, be injurious.
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