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*BLOOD

TRANSFUSION
- Dr.Chintan
(9441375293)
*
* Blood loss – accidents, surgical operations
* Severe anemia
(Pregnancy & emergency surgery
– quick restoration of Hb)

* Exchange transfusion
* Blood diseases – Aplastic

anemia, agranulocytosis, leukemias, hemophilia, purpura, clotting &
bleeding disorders

* Acute CO poisoning
*
* Donor selection
* Cross matching
* Major – Donor cell with recipient plasma

* Minor – Recipient cells with donor plasma
* Universal donor (O –ve)
* Universal recipient (AB +ve)
*
*

* Chills, rigors, fever, skin rash, itching, urticaria
* Anaphylactic shock

* Circulatory overload
* Iron overload – hemosiderosis
* Transmission of diseases, alloimmunization
* Infection
* Thrombophlebitis
* Air embolism

* Hyperkalemia
* Hypocalcaemia
* Hypothermia β†’ cardiac arrest β†’ sudden death
*
* Hemolysis – hemoglobinemia & hemoglobinuria (red urine), heart rate
↑, BP ↓, dyspnea, bronchospasm, nausea, vomiting,, pulmonary
edema, CCF…………. Jaundice

* Chest pain, back pain
* Renal stone

* Renal shutdown – anuria
* Renal vasoconstriction, circulatory shock, kidney tubules blockage
* Uremia, Coma, death
* TRALI, FNHTR, DHTR, GVHD
*
* 1 unit of blood (300 ml) – every 3 months

* ACD mixture (21 days)
* Cold storage
- RBC swell (loss of K, ↑ in Na, water)
- 80 % - 24 hrs. – Destroyed at 1% / day
- WBCs, Platelets – absent after 24 hrs.
* Blood components – PCV, FFP, Platelets
*THANQ……

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Blood transfusion

  • 2. * * Blood loss – accidents, surgical operations * Severe anemia (Pregnancy & emergency surgery – quick restoration of Hb) * Exchange transfusion * Blood diseases – Aplastic anemia, agranulocytosis, leukemias, hemophilia, purpura, clotting & bleeding disorders * Acute CO poisoning
  • 3. * * Donor selection * Cross matching * Major – Donor cell with recipient plasma * Minor – Recipient cells with donor plasma * Universal donor (O –ve) * Universal recipient (AB +ve)
  • 4. *
  • 5.
  • 6.
  • 7.
  • 8. * * Chills, rigors, fever, skin rash, itching, urticaria * Anaphylactic shock * Circulatory overload * Iron overload – hemosiderosis * Transmission of diseases, alloimmunization * Infection * Thrombophlebitis * Air embolism * Hyperkalemia * Hypocalcaemia * Hypothermia β†’ cardiac arrest β†’ sudden death
  • 9. * * Hemolysis – hemoglobinemia & hemoglobinuria (red urine), heart rate ↑, BP ↓, dyspnea, bronchospasm, nausea, vomiting,, pulmonary edema, CCF…………. Jaundice * Chest pain, back pain * Renal stone * Renal shutdown – anuria * Renal vasoconstriction, circulatory shock, kidney tubules blockage * Uremia, Coma, death * TRALI, FNHTR, DHTR, GVHD
  • 10. * * 1 unit of blood (300 ml) – every 3 months * ACD mixture (21 days) * Cold storage - RBC swell (loss of K, ↑ in Na, water) - 80 % - 24 hrs. – Destroyed at 1% / day - WBCs, Platelets – absent after 24 hrs. * Blood components – PCV, FFP, Platelets