CLINICAL ENCOUNTERS
ANTICOAGULATION
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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oxalates
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EDTA
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Citrate
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Both A and C
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Both B and c
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Detailed explanation-1: -Citrate chelates calcium making it biologically unavailable. This inhibits the propagation of the coagulation cascade. Calcium citrate complexes are removed at a rate of 20–50% across the hemofilter. The remaining free citrate posthemofilter is available to chelate any remaining calcium.
Detailed explanation-2: -Intracellular calcium chelator BAPTA protects cells against toxic calcium overload but also alters physiological calcium responses. Cell Calcium.
Detailed explanation-3: -The chelating agent calcium ethylenediaminetetraacetic acid (EDTA) (calcium disodium salt of EDTA) is indicated for acute exposure if administered shortly after cadmium exposure before new metallothionein is synthesized.
Detailed explanation-4: -Citrate, which chelates positively charged calcium ions and thereby blocks calcium-dependent clotting factor reactions, is the anticoagulant typically used for collection of blood for transfusion as well as for in vitro evaluation of platelet function.