BLOOD DONATION Dr UMESH KUSHWAHA ASSITANT PROFCIMSH WHY

BLOOD DONATION Dr. UMESH KUSHWAHA ASSITANT PROF-CIMSH

WHY SHOULD I DONATE BLOOD q People v with severe trauma Man made and natural disasters q Women as v v with complication of pregnancy, such Ectopic pregnancies Hemorrhage before during or after childbirth q Children with v Infection v Malnutrition q Many severe anemia medical or surgical procedure q Cancer patients

BENEFITS OF BLOOD DONATION Reduce harmful iron stores-hemochromatosis-Iron overload Lower the risk of heart attack Reduce the risk of cancer After blood donation-liver stay healthy-NAFLD Benefit for emotional & physical health v v Reduce stress Improve your emotional well-being

TYPE OF BLOOD DONOR Voluntary Donors-Donate blood on their own Replacement Donors-Donate blood for own family patient or relative patients. Autologous Donors-Are patients who donate blood for self. Professional Donors- Donate blood for money also know as commercials donor or Paid donor Apheresis Donors- Donate blood components through the process of cell separation.

DONOR SCREENING

REGISTRATION Name Gender Date and time of donation Address Telephone number Age or date of birth- on the basis of any identity card Consent to donor

MEDICAL HISTORY OF DONOR Have eaten today Did you sleep last night well Have you donated blood in past 3 month Have you under the doctor care, been pregnant or major illness or surgery within past 12 month Are you taking antibiotic or aspirin within past 72 hrs, Have you ever had heart problem, lung problems or bleeding disorder Have you ever had any viral disease like HIV, Hbs. Ag, HCV Have you ever had malarial infection –past 6 month

MEDICAL HISTORY OF DONOR Any history of blood transfusion in the past 12 month Have you any vaccinations or immunization in the last 6 month Have you had a tattoo, ear piercing or acupuncture in the last 12 months Have you treated for STD syphilis Are you drinking alcohol in the last 72 hr FOR FEMALE DONOR o Are you pregnant or pregnant in the last 12 month o Have you had an abortion or miscarriage in the last 6 month o Do you child less than one year of age

DONOR SELECTION Age 18 -60 yrs Weight more or equal to 45 kg Haemoglobin more or equal to 12. 5 gm% 3 month after previous donation. Night sleep well No Any tattooing within 6 month No malarial infection within 6 wks No jaundice within 3 years. Pregnant women Lactating women Not fit for blood donation HIV patients Viral hepatitis patients Abortion within 6 month

PHYSICAL SCREENING OF DONOR Age 18 -60 years Pulse- 50 -100 bpm Blood pressure Body temperature- less than or equal to 99. 50 F Body weight-45 kg or more than 45 kg Phlebotomy sites- any skin disease or burning scar

LABORATORY SCREENING Some Laboratory tests q ABORh groping q Measurement of Hb q Platelets count Ø HIV -Serological as well as ELISA Ø HCV-Serological as well as ELISA Ø HBs. Ag+ core antibody-Serological as well as ELISA Ø VDRL-Serological test for Syphilis Ø Malaria Antigen test

DONOR REACTIONS Mild Reactions Syncope or fainting Nausea or vomiting Hyperventilation Twitching muscle spasm Instructions apply Instruct the donor to breath slowly Apply cold compresses to the forehead The donor may be given water after vomiting has ceased

DONOR REACTIONS Moderate reactions Mild reactions in addition to loss of consciousness. Instructions apply Check vitals signs frequently Administer 95% oxygen and 5% carbon dioxide

DONOR REACTIONS Severe reactions Mild reactions in addition to convulsion Instruction apply Call the help immediately; notify blood bank physicians Try and restrain the donor to prevent injury to self Ensure an adequate airway

DONOR RECOMMENDATIONS Contact the blood bank If any illness arises after your donation Do not smoke for ½ hr after donation Eat and drink something before leaving Do not leave until released of donor technician Drink more fluid in the next four hours Leave the bandage on for a few hours, if there is any bleeding from puncture site, raise the arm and apply direct pressure If you feel faint either lie down or sit down with head between the knees Do not perform strenuous activities or exercise for one day If any symptoms persist, either return to blood bank or see doctor