What is the recommended dosage of calcium gluconate after the first unit of blood transfusion?

The recommended dosage of calcium gluconate after the first unit of blood transfusion is 1g of calcium in 30ml of 10% calcium gluconate. This dosage is essential because blood transfusions can lead to hypocalcemia, particularly if citrate anticoagulant is used, which binds calcium. Administering calcium gluconate helps restore safe calcium levels in the body, thereby preventing complications associated with low calcium such as muscle spasms, cardiac irregularities, and neurological issues.

Calcium gluconate is preferable in this context because it is less irritating to the veins compared to calcium chloride and is an effective way to manage the potential side effects of transfusions safely. The specified amount ensures adequate supplementation while minimizing the risk of adverse reactions.

Understanding the correct dosing helps combat medics and healthcare providers effectively manage the electrolyte balance in patients undergoing blood transfusions, maintaining patient safety and promoting positive outcomes.