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. Author manuscript; available in PMC: 2010 May 24.
Published in final edited form as: Transfusion. 2008 Jan 7;48(2):209–217. doi: 10.1111/j.1537-2995.2007.01592.x

TABLE 2.

Quantity (total mg/kg) of additives infused during a transfusion of 15 mL per kg AS-1 or AS-3 RBCs at a Hct level of 60%

Additive AS-1 AS-3 Toxic dose*
Sodium chloride 42 7.5 137 mg/kg/day
Dextrose 129 23 240 mg/kg/hr
Adenine 0.6 0.6   15 mg/kg/dose
Citrate 9.8 12.6 180 mg/kg/hr
Phosphate 2.0 5.6 >60 mg/kg/day
Mannitol 33 0 360 mg/kg/day
*

The accuracy of toxic dose is difficult to predict because RBC infusion rates are slow, allowing metabolism and distribution of additives into extravascular sites. In addition, dextrose, adenine, and phosphate enter RBCs and are somewhat sequestered and not immediately “available” in the extracellular solution. Potential toxic doses from Luban et al.24