A patient undergoing an apheresis procedure may develop signs of hypocalcemia related to the infusion of calcium citrate used as an anticoagulant.
Monitoring frequency: assessments every 15 minutes
(2) muscle cramping
(7) chest tightness
whole blood processing decreased by 16-20%; consider therapeutic calcium infusion (Bolan et al, 2002)
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Specialty: Clinical Laboratory, Hematology Oncology, Immunology/Rheumatology