A neonate may develop hypoglycemia during or after transfusion of a blood product.
Implicated products:
(1) packed red blood cells
(2) fresh frozen plasma (FFP)
Risk factors:
(1) premature infant
(2) only 1 peripheral vascular line available (so dextrose cannot be infused)
(3) use of a blood product anticoagulant/additive low in dextrose
(4) history of recent hypoglycemia
The blood glucose of a neonate should be monitored periodically (every 30 or 60 minutes) following blood product transfusion in order to detect any hypoglycemia.
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