SlideShare a Scribd company logo
1 of 121
PRESENTED BY :-
MR. ROMAN BAJRANG
BASIC BS.C NURSING 2ND YEAR
RELIANCE INSTITUTE OF NURSING
IN TR ODUC TION
โ€ขBLOOD TRANSFUSION IS DEFINED AS PROCESS OFTHE
ONEโ€™S CIRCULATION
INTRAVENOUSLY. THIS IS USUALLY
RECEIVING BLOOD PRODUCTS INTO
DONE AS A LIFE SAVING
MANEUVER TO REPLACE BLOOD CELLS OR BLOOD PRODUCTS
DURING SURGERY WHEN
TO INCREASE THE BLOOD
LOST THROUGH SEVERE BLEEDING,
SEVERE BLOOD LOSS OCCURS OR
COUNT IN AN ANAEMICPATIENT.
โ€ขTRANSFUSIONS USUALLY INVOLVE THE USE OF TWO SOURCES OF
BLOOD โ€“ ONEโ€™S OWN (AUTOLOGOUS TRANSFUSION) OR
SOMEONE ELSEโ€™S (ALLOGENICTRANSFUSION).
โ€ขBLOOD TRANSFUSIONS INVOLVES THE USE OF WHOLE BLOOD ,
RED BLOOD CELLS, WHITE BLOOD CELLS, PLASMA, CLOTTING
FACTORSAND PLATELETS.
PROCEDURE
OF
BLOOD
TRANSFUSION
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion
Blood transfusion

More Related Content

What's hot

Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
Aashissh Shah
ย 
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar GuptaBlood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
Drbimalesh Gupta
ย 
Safe Blood Transfusion
Safe Blood TransfusionSafe Blood Transfusion
Safe Blood Transfusion
Dang Thanh Tuan
ย 
Blood transfusion pptn
Blood transfusion pptnBlood transfusion pptn
Blood transfusion pptn
Neelam Yadav
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
Ahmad Thanin
ย 
Transfusion therapy
Transfusion therapyTransfusion therapy
Transfusion therapy
Dr.sajid Nomani
ย 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1
Preetam Manoli
ย 

What's hot (20)

Blood
BloodBlood
Blood
ย 
Blood Component Therapy: What a clinician needs to know !
Blood Component Therapy: What a clinician needs to know !Blood Component Therapy: What a clinician needs to know !
Blood Component Therapy: What a clinician needs to know !
ย 
Ppt blood transfusion
Ppt blood transfusionPpt blood transfusion
Ppt blood transfusion
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
ย 
blood products
blood products blood products
blood products
ย 
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar GuptaBlood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
Blood groups,blood components and blood transfusion By Dr Bimalesh Kumar Gupta
ย 
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, SilvassaBlood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
ย 
Safe Blood Transfusion
Safe Blood TransfusionSafe Blood Transfusion
Safe Blood Transfusion
ย 
Blood transfusion pptn
Blood transfusion pptnBlood transfusion pptn
Blood transfusion pptn
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
ย 
Transfusion therapy
Transfusion therapyTransfusion therapy
Transfusion therapy
ย 
Blood transfussion
Blood transfussionBlood transfussion
Blood transfussion
ย 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
ย 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1
ย 
Blood, Blood transfusion and Blood products
Blood, Blood transfusion and Blood products  Blood, Blood transfusion and Blood products
Blood, Blood transfusion and Blood products
ย 
Blood Transfusion (Principles and procedure)
Blood Transfusion (Principles and procedure)Blood Transfusion (Principles and procedure)
Blood Transfusion (Principles and procedure)
ย 
Blood and donation facts
Blood and donation factsBlood and donation facts
Blood and donation facts
ย 
Blood component therapy
Blood component therapyBlood component therapy
Blood component therapy
ย 

Similar to Blood transfusion

Blood transfusion dr nirmala ppt final-converted.pdf
Blood transfusion dr nirmala ppt final-converted.pdfBlood transfusion dr nirmala ppt final-converted.pdf
Blood transfusion dr nirmala ppt final-converted.pdf
ShivakumarAladakatti
ย 
Transfusion Therapy
Transfusion TherapyTransfusion Therapy
Transfusion Therapy
Jolene Bethune
ย 
Autotransfusion
AutotransfusionAutotransfusion
Autotransfusion
Sitanshu Barik
ย 
6.shockblood transfusion)
6.shockblood transfusion)6.shockblood transfusion)
6.shockblood transfusion)
nazimjat
ย 
Blood transfusion in oral and maxillofacial surgery
Blood transfusion in oral and maxillofacial surgeryBlood transfusion in oral and maxillofacial surgery
Blood transfusion in oral and maxillofacial surgery
poojithabanala1
ย 
Presentation1 et
Presentation1 etPresentation1 et
Presentation1 et
Ismat Jahan
ย 
Blood transfusion
Blood transfusion Blood transfusion
Blood transfusion
Hassan Taha
ย 

Similar to Blood transfusion (20)

blood products for the ug medicine pptx
blood products  for the ug medicine pptxblood products  for the ug medicine pptx
blood products for the ug medicine pptx
ย 
blood products for the ug medicine pptx
blood products  for the ug medicine pptxblood products  for the ug medicine pptx
blood products for the ug medicine pptx
ย 
BLOOD TRANSFUSION AR.pptx
BLOOD TRANSFUSION AR.pptxBLOOD TRANSFUSION AR.pptx
BLOOD TRANSFUSION AR.pptx
ย 
Exchange blood transfusion
Exchange blood transfusionExchange blood transfusion
Exchange blood transfusion
ย 
Blood transfusion dr nirmala ppt final-converted.pdf
Blood transfusion dr nirmala ppt final-converted.pdfBlood transfusion dr nirmala ppt final-converted.pdf
Blood transfusion dr nirmala ppt final-converted.pdf
ย 
Haemorrhage
HaemorrhageHaemorrhage
Haemorrhage
ย 
Transfusion Therapy
Transfusion TherapyTransfusion Therapy
Transfusion Therapy
ย 
Autotransfusion
AutotransfusionAutotransfusion
Autotransfusion
ย 
Autotransfusion
AutotransfusionAutotransfusion
Autotransfusion
ย 
Blood and blood transfusion
Blood and blood transfusionBlood and blood transfusion
Blood and blood transfusion
ย 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
ย 
6.shockblood transfusion)
6.shockblood transfusion)6.shockblood transfusion)
6.shockblood transfusion)
ย 
blood donation
blood donationblood donation
blood donation
ย 
NES BLOOD TRANSFUSION.pptx
NES BLOOD TRANSFUSION.pptxNES BLOOD TRANSFUSION.pptx
NES BLOOD TRANSFUSION.pptx
ย 
Blood transfusion in oral and maxillofacial surgery
Blood transfusion in oral and maxillofacial surgeryBlood transfusion in oral and maxillofacial surgery
Blood transfusion in oral and maxillofacial surgery
ย 
Hydrocephalus shunts
Hydrocephalus shuntsHydrocephalus shunts
Hydrocephalus shunts
ย 
Presentation1 et
Presentation1 etPresentation1 et
Presentation1 et
ย 
Blood transfusion
Blood transfusion Blood transfusion
Blood transfusion
ย 
POST PARTUM HEMORRHAGE.pptx
POST PARTUM HEMORRHAGE.pptxPOST PARTUM HEMORRHAGE.pptx
POST PARTUM HEMORRHAGE.pptx
ย 
POST PARTUM HEMORRHAGE.pptx
POST PARTUM HEMORRHAGE.pptxPOST PARTUM HEMORRHAGE.pptx
POST PARTUM HEMORRHAGE.pptx
ย 

More from ROMAN BAJRANG (20)

Laparoscopy
LaparoscopyLaparoscopy
Laparoscopy
ย 
Anemia. PPT
Anemia. PPTAnemia. PPT
Anemia. PPT
ย 
Nephrotic syndrome
Nephrotic syndromeNephrotic syndrome
Nephrotic syndrome
ย 
Hernia ppt
Hernia ppt Hernia ppt
Hernia ppt
ย 
Hypospadias & epispadias
Hypospadias &  epispadiasHypospadias &  epispadias
Hypospadias & epispadias
ย 
Dermatitis ppt
Dermatitis pptDermatitis ppt
Dermatitis ppt
ย 
Dialysis ppt
Dialysis pptDialysis ppt
Dialysis ppt
ย 
Hemorrhoids ppt
Hemorrhoids pptHemorrhoids ppt
Hemorrhoids ppt
ย 
Diabetes mellitus ppt
Diabetes  mellitus pptDiabetes  mellitus ppt
Diabetes mellitus ppt
ย 
Chronic renal failure
Chronic renal  failureChronic renal  failure
Chronic renal failure
ย 
Cirrhosis ppt
Cirrhosis ppt Cirrhosis ppt
Cirrhosis ppt
ย 
Peptic ulcer ppt
Peptic ulcer pptPeptic ulcer ppt
Peptic ulcer ppt
ย 
Diabetes mellitus
Diabetes  mellitusDiabetes  mellitus
Diabetes mellitus
ย 
Ot setup
Ot setupOt setup
Ot setup
ย 
Obsessive compulsive disorder
Obsessive compulsive disorderObsessive compulsive disorder
Obsessive compulsive disorder
ย 
Mental retardation
Mental retardationMental retardation
Mental retardation
ย 
Renal stone
Renal stoneRenal stone
Renal stone
ย 
Heart block
Heart block Heart block
Heart block
ย 
Disorders of pituitary_gland-
Disorders of pituitary_gland-Disorders of pituitary_gland-
Disorders of pituitary_gland-
ย 
Myocardial infarction (CASE PRESENTATION )
Myocardial  infarction (CASE	PRESENTATION )Myocardial  infarction (CASE	PRESENTATION )
Myocardial infarction (CASE PRESENTATION )
ย 

Recently uploaded

VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
chetankumar9855
ย 

Recently uploaded (20)

Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
ย 
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
ย 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
ย 
Top Rated Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
ย 
All Time Service Available Call Girls Marine Drive ๐Ÿ“ณ 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive ๐Ÿ“ณ 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive ๐Ÿ“ณ 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive ๐Ÿ“ณ 9820252231 For 18+ VIP C...
ย 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
ย 
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
ย 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
ย 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
ย 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
ย 
Top Rated Bangalore Call Girls Majestic โŸŸ 9332606886 โŸŸ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic โŸŸ  9332606886 โŸŸ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic โŸŸ  9332606886 โŸŸ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic โŸŸ 9332606886 โŸŸ Call Me For Genuine S...
ย 
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
ย 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
ย 
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
ย 
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
ย 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
ย 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
ย 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
ย 
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
ย 

Blood transfusion

  • 1.
  • 2. PRESENTED BY :- MR. ROMAN BAJRANG BASIC BS.C NURSING 2ND YEAR RELIANCE INSTITUTE OF NURSING
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. IN TR ODUC TION โ€ขBLOOD TRANSFUSION IS DEFINED AS PROCESS OFTHE ONEโ€™S CIRCULATION INTRAVENOUSLY. THIS IS USUALLY RECEIVING BLOOD PRODUCTS INTO DONE AS A LIFE SAVING MANEUVER TO REPLACE BLOOD CELLS OR BLOOD PRODUCTS DURING SURGERY WHEN TO INCREASE THE BLOOD LOST THROUGH SEVERE BLEEDING, SEVERE BLOOD LOSS OCCURS OR COUNT IN AN ANAEMICPATIENT. โ€ขTRANSFUSIONS USUALLY INVOLVE THE USE OF TWO SOURCES OF BLOOD โ€“ ONEโ€™S OWN (AUTOLOGOUS TRANSFUSION) OR SOMEONE ELSEโ€™S (ALLOGENICTRANSFUSION). โ€ขBLOOD TRANSFUSIONS INVOLVES THE USE OF WHOLE BLOOD , RED BLOOD CELLS, WHITE BLOOD CELLS, PLASMA, CLOTTING FACTORSAND PLATELETS.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.