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Blood donation and transfusion

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I ' m a heal t hy bl ood donor .

are you?

World Blood DonorDay 14 June 2008

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Frequently

asked questions

Blood donation and transfusion

On average, a human being contains about 5-6 litres of blood.

About 7% of the body weight of a healthy individual is accounted for by blood.

How much blood does a human body contain?

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Blood is composed of a fluid called plasma, which has three types of cells – red blood cells (RBC), white blood cells (WBC) and platelets.

Plasma acts as a vehicle to carry nutrition, enzymes, and

hormones, etc; Red blood cells carry oxygen from the lungs to various body tissues; White blood cells help the immune system of the body and platelets facilitate the process of clotting and coagulation of blood.

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What is the composition of blood?

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Blood cannot be manufactured.

It can only be donated by humans.

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Blood transfusion saves lives, but millions of patients requiring transfusion do not have timely access to safe blood.

How is blood formed?

The RBC, granulocytes of WBC and platelets are produced mainly by the bone marrow. The lymphocytes and monocytes of the WBC are formed in the lymphoid and reticulo-endothelial tissues. The orderly proliferation of the cells in the bone

marrow and their release into the circulatory system is carefully regulated according to the needs of the body. Every day, new blood cells are produced in the bone marrow and every day old cells die and are removed from the body.

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What is the natural life of blood cells?

Red blood cells have a life of ~0 days.. White blood cells live for a few days and platelets for a few hours. The addition of new cells to the blood stream and removal of old cells is a continuous process.

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What is hemoglobin?

Hemoglobin is a substance present in the red cells. It helps to carry oxygen and carbon dioxide to different parts of the body.

On an average, the hemoglobin level for a healthy male should be between 4 - 6 gm % and for a female between  - 4 gm %.

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 What are blood groups?

Every individual belongs to two major types of blood groups. The first is called the ABO - group and the second type is called the Rh - group. In the ABO group there are four categories: A Group, B Group, O Group and AB Group.

In the Rh - Group either the individual is Rh-positive or Rh- negative. ( Rh denotes the Rhesus factor, named for Rhesus monkeys).

Thus every human being belongs to one of the following groups.

A positive or A negative B positive or B negative O positive or O negative AB positive or AB negative

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What is the importance of knowing the blood groups?

For all practical and routine purposes, it is ideal to transfuse to the patient the same group of blood which he/she belongs to.

Under no circumstances can an O group person get any other blood than O. Similarly, an A group patient cannot be given B group blood and vice versa.

It is only in a dire emergency that we take O group as a universal donor and AB groups as universal recipient.

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A: Blood donation is

a safe and simple four-step process that takes around 30 minutes.

Why is an A group person not given B group blood?

The blood of an A Group person contains anti-B group antibodies. In B group blood, there are anti–A group antibodies.

If we give A group blood to a B group patient, it will be incompatible and will result in serious medical consequences.

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Why are Rh negative and Rh positive incompatible?

A patient with Rh-negative blood cannot be given Rh-positive blood as the antigen-antibody reaction will result in severe medical consequences.

In cases where a woman is Rh negative and her husband is Rh positive, the first child with Rh positive may be normal.

But, subsequently, the woman may not conceive or may have repeated abortions. There may be intra-uterine fetal death. If the child born is alive, it may suffer from a fatal disease called

“Erythroblastosis Fetalis”. Now, Rh negative mothers can be given an injection of anti-D within 4 hours of the delivery of a Rh-positive child and thus protect the next baby from this fate.

What is a unit of blood?

Blood is collected in plastic bags containing a liquid chemical that prevents the blood from coagulating. On average, about 450 ml. of blood is collected from a person. This blood, plus the amount of anti-coagulant present in the bottle or bag, is known as one unit of blood.

Can blood of animals be transfused to human beings?

No. Only the blood of a human being can be transfused to a human.

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For how long can blood be stored?

Whole blood can be stored for up to 5 days, when kept in an anti- coagulant solution and refrigerated at -4 degrees C.

Blood for transfusion should always be screened for HIV, hepatitis B, hepatitis C and syphilis.

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5 Now, with the advent of cell-separators a particular component from the donor can be collected, while the rest of the blood constituents go back to the donor.

In what circumstances do patients need blood transfusion?

There are many situations in which patients need blood to stay alive:

- After a major accident or during a major surgical procedure in which there is loss of blood.

- During open heart surgery. On average, about six units of blood are required.

- During complications in childbirth. The, the mother may need a large amount of blood for both her and the baby.

- For patients with blood diseases like severe anemia especially aplastic anemia, leukemia (blood cancer), hemophilia (bleeding disorder), thalassemia, etc. repeated blood transfusions are the only solution.

- In situations such as poisoning, drug reactions, shock and burns, blood transfusion is a critical requirement to save human life.

Can blood be separated into its components?

Several components from blood can be separated and used to treat specific conditions. This helps in utilization of one unit of blood for several patients. These components are : packed RBCs, fresh frozen plasma, platelet rich plasma; platelet concentrate;

cryoprecipitate; factor VIII and IX; glbumin, globulin and many others.

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With increasing demand, blood shortages are common. More blood donors are needed to replace those lost every year due to ill health, retirement and relocation.

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In which situations do people generally donate blood?

There are three types of blood donors: -

() Professional blood donors. They sell their blood, which is often of very poor quality and can transmit dangerous diseases to the recipient. It is not recommended to take blood from this category of donors.

() Replacement blood donors. Healthy relatives and friends of the patient give their blood, of any group, to the blood bank.

In exchange, the required number of units of the required blood group is given to the patient.

() Voluntary blood donation. Here, a person donates blood voluntarily. The blood can be used for any patient even without divulging the identity of the donor. This is the best type of blood donation, where a motivated human being gives blood in an act of selfless service.

Is all the collected blood tested?

Yes. All blood units are tested for HIV/

AIDS, hepatitis B, hepatitis C, malaria and VDRL,

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Who is a healthy donor?

Usually, any person within the age group of 8-60 years with a minimum body weight of 45 kg, and having a minimum hemoglobin content of

. 0 gm %.

Road traffic crashes are the second leading cause of death for people aged 5 to 29 years. Safe blood transfusion is an essential component of emergency trauma care.

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7 Does a donor need to do anything special before donating blood?

Nothing special. The donor should eat at regular meal times and drink plenty of fluids.

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How long does it take to donate blood? Does the needle hurt the entire time?

The procedure is done by specially trained technicians and takes three to eight minutes. However, from start to finish (filling a form, post-donation rest, etc.) the entire process should take less than 0 minutes.

Does the donor suffer from any harmful effects after donating blood?

Absolutely not. Within a period of 4-48 hours, the volume of plasma gets replaced as the same amount gets formed in the body

Can a donor work after donating blood?

Routine work is absolutely fine after an initial period of rest.

However, rigorous physical work should be avoided for a few hours.

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Is a special diet required for a donor after giving blood?

Not really. After donation, the donor is given something to drink. It may be a cup of coffee or juice along with a small snack. The donor needs no other special diet. A routine, balanced diet is adequate.

Adequate stocks of safe blood are assured by regular donation by voluntary unpaid blood donors.

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How long will it take for the body to replenish the donated blood?

The body replaces blood volume or plasma within 4 hours. Red cells need about four to eight weeks for complete replacement.

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How frequently can one donate blood?

A three-month gap between donations is a safe interval.

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Do any diseases debar a person from donating blood?

Yes, if the donor has suffered from any of these diseases:

Fever: The donor should not have suffered from fever for the past

5 days.

Jaundice: A donor should not have tested positive for hepatitis and suffered from jaundice.

Blood transmitted diseases: Syphilis, malaria, filaria etc. debar a donor from donating blood until treatment is over and the donor is disease-free.

Drugs: If a person is taking drugs like aspirin, anti-hypertensives, anti-diabetics, hormones, corticosteroids etc., he is unfit to donate blood.

No HIV-positive person is allowed to donate blood.

Safe clinical transfusion practices are fundamental for transfusion to be truly life- saving with minimal risk.

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 Are there any other benefits of blood donation?

Yes, blood donation is a noble, selfless service. It gives the donor a feeling of joy and contentment. Also it is an expression of love for mankind, as blood knows no caste, colour, creed, religion or race.

Are there any alternatives to blood transfusions

There is currently no man-made alternative to human blood.

However, researchers have developed medicines that may help do the job of some blood components.

What is the role of the blood bank?

Blood banks collect, test, and store blood. They carefully screen all donated blood so the right type is available for your transfusion.

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The most common reason for people to donate blood is because they “want to help others”

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Someone saved my life...

was it you?

World Blood Donor Day

4 June 008

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References

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