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Blood transfusion
1.
*BLOOD TRANSFUSION - Dr.Chintan (9441375293)
2.
* * Blood loss
β accidents, surgical operations * Severe anemia (Pregnancy & emergency surgery β quick restoration of Hb) * Exchange transfusion * Blood diseases β Aplastic anemia, agranulocytosis, leukemias, hemophilia, purpura, clotting & bleeding disorders * Acute CO poisoning
3.
* * Donor selection *
Cross matching * Major β Donor cell with recipient plasma * Minor β Recipient cells with donor plasma * Universal donor (O βve) * Universal recipient (AB +ve)
4.
*
5.
6.
7.
8.
* * Chills, rigors,
fever, skin rash, itching, urticaria * Anaphylactic shock * Circulatory overload * Iron overload β hemosiderosis * Transmission of diseases, alloimmunization * Infection * Thrombophlebitis * Air embolism * Hyperkalemia * Hypocalcaemia * Hypothermia β cardiac arrest β sudden death
9.
* * Hemolysis β
hemoglobinemia & hemoglobinuria (red urine), heart rate β, BP β, dyspnea, bronchospasm, nausea, vomiting,, pulmonary edema, CCFβ¦β¦β¦β¦. Jaundice * Chest pain, back pain * Renal stone * Renal shutdown β anuria * Renal vasoconstriction, circulatory shock, kidney tubules blockage * Uremia, Coma, death * TRALI, FNHTR, DHTR, GVHD
10.
* * 1 unit
of blood (300 ml) β every 3 months * ACD mixture (21 days) * Cold storage - RBC swell (loss of K, β in Na, water) - 80 % - 24 hrs. β Destroyed at 1% / day - WBCs, Platelets β absent after 24 hrs. * Blood components β PCV, FFP, Platelets
11.
*THANQβ¦β¦
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