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ADARSH DENTAL CLINIC-CHENNAI




          DR.VINAMRA DHARIWAL MDS
DR.VINAMRA DHARIWAL MDS
BLOOD Facts

• Blood flows everywhere
  through the human body.
• We cannot live without it.
• The heart pumps blood to all
  our body cells, supplying them
  with oxygen and food.
• Blood also carries proteins and
  cell fragments called platelets
  that let blood clot where there
  has been an injury.
                   DR.VINAMRA DHARIWAL MDS
What makes up our blood?
• RED BLOOD CELLS (Erythrocytes) – The most abundant
  cells in our blood; they are produced in the bone marrow and
  contain a protein called hemoglobin that carries oxygen to our
  cells.
• WHITE BLOOD CELLS (Leukocytes) – They are part of the
  immune system and destroy infectious agents called
  pathogens.
• PLASMA – This is the yellowish liquid portion of blood that
  contains electrolytes, nutrients and vitamins, hormones,
  clotting factors, and proteins such as antibodies to fight
  infection.
• PLATELETS (Thrombocytes) – The clotting factors that are
  carried in the plasma; they clot together in a process called
  coagulation to seal a wound and prevent a loss of blood.

                       DR.VINAMRA DHARIWAL MDS
Blood Facts
The average adult has about FIVE liters of blood inside of
their body, which makes up 7-8% of their body weight.
Blood is living tissue that carries oxygen and nutrients to
all parts of the body, and carries carbon dioxide and other
waste products back to the lungs, kidneys and liver for
disposal. It also fights against infection and helps heal
wounds, so we can stay healthy.
There are about one billion red blood cells in two to three
drops of blood. For every 600 red blood cells, there are
about 40 platelets and one white cell.
                           DR.VINAMRA DHARIWAL MDS
                http://www.bloodbankofalaska.org/about_blood/index.html
Genetics of Blood Types
• Your blood type is established before you are BORN,
  by specific GENES inherited from your parents.

• You inherit one gene from your MOTHER and one
  from your FATHER.

• These genes determine your blood type by causing
  proteins called AGGLUTINOGENS to exist on the
  surface of all of your red blood cells.



                   DR.VINAMRA DHARIWAL MDS
What are blood types?
                                                                       Blood Types
There are 3 alleles or genes for blood
type: A, B, & O. Since we have 2 genes,                                AA or AO =
there are 6 possible combinations.                                       Type A
                                                                     BB or BO = Type
                                                                            B
                                                                      OO = Type O
                                                                      AB = Type AB




       http://learn.genetics.utah.edu/units/basics/blood/types.cfm
                                        DR.VINAMRA DHARIWAL MDS
How common is your blood type?


                                    46.1%

                                    38.8%

                                    11.1%

                                    3.9%


          DR.VINAMRA DHARIWAL MDS
Rh Factors
• Scientists sometimes study Rhesus monkeys
  to learn more about the human anatomy
  because there are certain similarities between
  the two species. While studying Rhesus
  monkeys, a certain blood protein was
  discovered. This protein is also present in the
  blood of some people. Other people, however,
  do not have the protein.
• The presence of the protein, or lack of it, is
  referred to as the Rh (for Rhesus) factor.                 A+ A-
• If your blood does contain the protein, your
  blood is said to be Rh positive (Rh+). If your
                                                             B+ B-
  blood does not contain the protein, your blood            AB+ AB-
  is said to be Rh negative (Rh-).                           O+ O-
                http://www.fi.edu/biosci/blood/rh.html
                                  DR.VINAMRA DHARIWAL MDS
Did You Know?

 450ml of blood can save as many as three lives.
 Every two seconds, someone in India needs blood.
 One out of every three of us will need blood in our
  life time.
 Even with all of today’s technology, there is no
  substitute for blood.


        Someone has to give blood
    in order for someone to receive blood.
              DR.VINAMRA DHARIWAL MDS
Blood Transfusions
A blood transfusion is a procedure in which blood is given to a
patient through an intravenous (IV) line in one of the blood vessels.
Blood transfusions are done to replace blood lost during surgery or a
serious injury. A transfusion also may be done if a person’s body
can't make blood properly because of an illness.    Universal
Who can give you blood?
                                                         Donor
People with TYPE O blood are called
Universal Donors, because they can give
blood to any blood type.

People with TYPE AB blood are called
Universal Recipients, because they can
receive any blood type.

Rh +  Can receive + or -
Rh -  Can only receive -                                Universal
                               DR.VINAMRA DHARIWAL MDS
                                                         Recipient
DR.VINAMRA DHARIWAL MDS
Fact Sheet -1
 Hospitals predict that the need for blood will
  increase 5% each year.
 Approximately only 5% of the eligible
  population in India donates blood.

 75% of donors donate only ONCE per year.
If they donated just two times per year there would
                 never be any shortages.



               DR.VINAMRA DHARIWAL MDS
Fact sheet -2
 A person has 5 litres of blood in their body.
 A person can donate blood every 90 days (3 months).
 Body recovers the Blood very quickly:
    Blood plasma volume– within 24 - 48 hours
    Red Blood Cells – in about 3 weeks
    Platelets & White Blood Cells – within minutes




                 DR.VINAMRA DHARIWAL MDS
DR.VINAMRA DHARIWAL MDS
Some Reasons to Donate Blood

                        Blood is always needed for,
                             accident victims
                             cancer patients
                             blood disorder patients
                             surgery patients
                             Pre-mature, pre term
                            babies
                             and many others…….
 1 of out 10 hospital patients
 needs a blood transfusion
 4.5 million Indians lives are
 saved by blood transfusions
 each year

              DR.VINAMRA DHARIWAL MDS
• Safety of Blood Donor & Blood Recipient
  (patient) because “Safe Blood” gives life, “Unsafe
  blood” gives infections
• To ensure “Blood Safety”,
   – Strict “Donor Screening” at the Camp
   – “Testing” of collected blood to WHO specified
     standards
   – Strict “cross-matching” of blood samples to ensure
     safe transfusion to patient

               DR.VINAMRA DHARIWAL MDS
Pre-Donation information
• Blood is taken ONLY from Voluntary Donors
• Using sterile, disposable blood bags &
  instruments
• Donated Blood is tested and separated into
  components benefiting 3-4 patients
• It is safe to donate every 3 months



   • It is quick and safe.
   • It doesn’t hurt.
   • It saves 3 to 4 lives.
             DR.VINAMRA DHARIWAL MDS
Procedure for
         Voluntary Blood Donation
Pre-Donation:
1. Donor Screening
2. Donor Eligibility criteria
3. Deferral Criteria (Donor Consent Form)
4. Medical examination
Blood Donation:
5. Blood donation procedure
Post donation
6. Rest, advice & refreshment
7. Donor Certificate, Donor ID card

               DR.VINAMRA DHARIWAL MDS
1. Donor Screening

•    Safe Donor selection involves –
    1. Identification of low risk populations
    2. Donor education and recruitment
    3. Encouraging self deferral based on
       “Deferral Criteria”
    4. Medical Examination before donation

•   Voluntary Non-remunerated Repeat
    Donor (VNRD) is safest
            DR.VINAMRA DHARIWAL MDS
DR.VINAMRA DHARIWAL MDS
2. Donor Eligibility Criteria

                                      Wt > 45 Kg
• Who can donate?

  • Age: 18 - 60 years
  • Weight : > 45 kgs
  • Hemoglobin level: >12 gms/dl for men
    and 12.5 gms/dl for women
  • In good health
            DR.VINAMRA DHARIWAL MDS
Life long            1 year              6 Months



х  Abnormal bleeding           o Surgery           o Tattooing or
disorder                                           body piercing
х Heart, Kidney, Liver         o Typhoid
Disorder                                           o Dental
х   Thyroid disorder           o Dog bite          extraction

х  Epilepsy, Mental
disorders                      o Unexplained       o Root canal
                               weight loss         treatment
х   Tuberculosis, Leprosy,
х   Asthma                     o Continuous        o Malaria
х   Cancer                     low grade fever
                                                   o Vaccination
х  Insulin dependent
diabetics
х Uncontrolled High BP
                             DR.VINAMRA DHARIWAL MDS
3. Deferral Criteria…
               (Donor Consent Form)

Postpone donation for 6 months if you have risk
  factors for HIV/AIDS , such as..

• Having sex with more than one partner
        without using condom
       for vaginal, anal or oral sex
• Intravenous drug abuse
• Having sex with a person who could have the
  above risk factors


             DR.VINAMRA DHARIWAL MDS
3. Deferral Criteria…
          (Donor Consent Form)
Female donors cannot donate blood……
• During pregnancy
• After delivery for one year
• When lactating
• During menstrual period and for 7 days
  therafter
Male donors cannot donate blood……
• If cosumed Alcohol in the previous 24 hours



           DR.VINAMRA DHARIWAL MDS
4. Medical Examination at camp


   • Blood test for:
      – Blood grouping
      – Hemoglobin
   • Blood pressure
   • Pulse
   • General physical examination


              DR.VINAMRA DHARIWAL MDS
5. Blood Donation Procedure
          Remember!


                          The Donor Must ….

                          • have had good rest / sleep

                          • have had light meal

                          • be mentally prepared


        DR.VINAMRA DHARIWAL MDS
5. Blood Donation Procedure
              Volume of blood collection

 Donor        Blood           Amount        Used for
 Weight      collected

45 kgs -55    350ml         Single bag     Whole Blood
   kgs

> 55 kgs      450 ml          Double / Blood
                             Triple bag Components


                 DR.VINAMRA DHARIWAL MDS
Post Donation Advice
• Drink lots of fluids for next 24 hours
• Avoid smoking for one hour & alcohol till after a meal
• Don’t use elevator to go up immediately after donation as it will make
  blood rush to your feet & make you dizzy!
• Avoid highly strenuous exercises & games for a day
• If you feel dizzy, lie down & put your feet up. You will be alright in 10-20
  mins.
• Remove band-aid after 4 hours. If it bleeds, apply pressure & reapply
  band-aid. If bruised and painful, apply cold-pack 4 to 5 times for 5 mins
  each. The bruise is due to blood seeping into the surrounding tissue. It will
  take a few days to get reabsorbed.

•



                             DR.VINAMRA DHARIWAL MDS
6. Testing at Blood Bank for
  Transfusion Transmissible Infections (TTIs)

Blood collected at the BDC is screened
  using highest quality screening tests for 6
  TTIs

• HIV 1
• HIV 2
• Hepatitis B
• Hepatitis C
• VDRL (syphilis)
• Malaria

                DR.VINAMRA DHARIWAL MDS
Counselling for “Reactive” donors
If a blood sample tests positive for any TTI,
   then….
• Tests are repeated in duplicate
• Complete confidentiality is maintained
   about the test results
• only the donor is informed, counseled &
   encouraged for further testing
• Referrals to health experts are provided
   along with follow-ups
         DR.VINAMRA DHARIWAL MDS
7. Blood Products / Components
               & their uses
    Blood collected is screened for TTIs (infections) & IF
    SAFE, is separated into components & stored for issue
    to patients.

•   Whole blood
     –   For Exchange Transfusion in Babies
     –   Accident Victims
     –   Complicated Delivery cases
     –   Some specific surgeries

•   Blood Components
     –   Red Cells (for anemia)
     –   Fresh Frozen Plasma (for clotting disorders, burns)
     –   Platelets/Platelet rich plasma (for cancer, dengue)
     –   Cryoprecipitate (for clotting disorders)
     –   Cryo Poor Plasma (for burns)



                 DR.VINAMRA DHARIWAL MDS
What can YOU do?
• Make Blood Donation a HABIT
• Donate regularly – every 3 months to
  commemorate special days like birthdays,
  anniversaries ….
• Motivate others to donate
• Refer your friends and relatives




        DR.VINAMRA DHARIWAL MDS
Benefits to Donor of blood donation

 Health benefits:
 Regular donation (2-3 times a year….)
    – Lowers cholesterol
    – Lowers lipid levels
    – Decreases incidence of heart attacks, strokes
 Donor is also eligible to receive BLESSINGS
 Spouse/ Child/ Parents, and
    – Even friends


                 DR.VINAMRA DHARIWAL MDS
DR.VINAMRA DHARIWAL MDS
DR.VINAMRA DHARIWAL MDS
Thank You…




 DR.VINAMRA DHARIWAL MDS

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Blood+donation+facts

  • 1. ADARSH DENTAL CLINIC-CHENNAI DR.VINAMRA DHARIWAL MDS
  • 3. BLOOD Facts • Blood flows everywhere through the human body. • We cannot live without it. • The heart pumps blood to all our body cells, supplying them with oxygen and food. • Blood also carries proteins and cell fragments called platelets that let blood clot where there has been an injury. DR.VINAMRA DHARIWAL MDS
  • 4. What makes up our blood? • RED BLOOD CELLS (Erythrocytes) – The most abundant cells in our blood; they are produced in the bone marrow and contain a protein called hemoglobin that carries oxygen to our cells. • WHITE BLOOD CELLS (Leukocytes) – They are part of the immune system and destroy infectious agents called pathogens. • PLASMA – This is the yellowish liquid portion of blood that contains electrolytes, nutrients and vitamins, hormones, clotting factors, and proteins such as antibodies to fight infection. • PLATELETS (Thrombocytes) – The clotting factors that are carried in the plasma; they clot together in a process called coagulation to seal a wound and prevent a loss of blood. DR.VINAMRA DHARIWAL MDS
  • 5. Blood Facts The average adult has about FIVE liters of blood inside of their body, which makes up 7-8% of their body weight. Blood is living tissue that carries oxygen and nutrients to all parts of the body, and carries carbon dioxide and other waste products back to the lungs, kidneys and liver for disposal. It also fights against infection and helps heal wounds, so we can stay healthy. There are about one billion red blood cells in two to three drops of blood. For every 600 red blood cells, there are about 40 platelets and one white cell. DR.VINAMRA DHARIWAL MDS http://www.bloodbankofalaska.org/about_blood/index.html
  • 6. Genetics of Blood Types • Your blood type is established before you are BORN, by specific GENES inherited from your parents. • You inherit one gene from your MOTHER and one from your FATHER. • These genes determine your blood type by causing proteins called AGGLUTINOGENS to exist on the surface of all of your red blood cells. DR.VINAMRA DHARIWAL MDS
  • 7. What are blood types? Blood Types There are 3 alleles or genes for blood type: A, B, & O. Since we have 2 genes, AA or AO = there are 6 possible combinations. Type A BB or BO = Type B OO = Type O AB = Type AB http://learn.genetics.utah.edu/units/basics/blood/types.cfm DR.VINAMRA DHARIWAL MDS
  • 8. How common is your blood type? 46.1% 38.8% 11.1% 3.9% DR.VINAMRA DHARIWAL MDS
  • 9. Rh Factors • Scientists sometimes study Rhesus monkeys to learn more about the human anatomy because there are certain similarities between the two species. While studying Rhesus monkeys, a certain blood protein was discovered. This protein is also present in the blood of some people. Other people, however, do not have the protein. • The presence of the protein, or lack of it, is referred to as the Rh (for Rhesus) factor. A+ A- • If your blood does contain the protein, your blood is said to be Rh positive (Rh+). If your B+ B- blood does not contain the protein, your blood AB+ AB- is said to be Rh negative (Rh-). O+ O- http://www.fi.edu/biosci/blood/rh.html DR.VINAMRA DHARIWAL MDS
  • 10. Did You Know?  450ml of blood can save as many as three lives.  Every two seconds, someone in India needs blood.  One out of every three of us will need blood in our life time.  Even with all of today’s technology, there is no substitute for blood. Someone has to give blood in order for someone to receive blood. DR.VINAMRA DHARIWAL MDS
  • 11. Blood Transfusions A blood transfusion is a procedure in which blood is given to a patient through an intravenous (IV) line in one of the blood vessels. Blood transfusions are done to replace blood lost during surgery or a serious injury. A transfusion also may be done if a person’s body can't make blood properly because of an illness. Universal Who can give you blood? Donor People with TYPE O blood are called Universal Donors, because they can give blood to any blood type. People with TYPE AB blood are called Universal Recipients, because they can receive any blood type. Rh +  Can receive + or - Rh -  Can only receive - Universal DR.VINAMRA DHARIWAL MDS Recipient
  • 13. Fact Sheet -1  Hospitals predict that the need for blood will increase 5% each year.  Approximately only 5% of the eligible population in India donates blood.  75% of donors donate only ONCE per year. If they donated just two times per year there would never be any shortages. DR.VINAMRA DHARIWAL MDS
  • 14. Fact sheet -2  A person has 5 litres of blood in their body.  A person can donate blood every 90 days (3 months).  Body recovers the Blood very quickly:  Blood plasma volume– within 24 - 48 hours  Red Blood Cells – in about 3 weeks  Platelets & White Blood Cells – within minutes DR.VINAMRA DHARIWAL MDS
  • 16. Some Reasons to Donate Blood Blood is always needed for,  accident victims  cancer patients  blood disorder patients  surgery patients  Pre-mature, pre term babies  and many others…….  1 of out 10 hospital patients needs a blood transfusion  4.5 million Indians lives are saved by blood transfusions each year DR.VINAMRA DHARIWAL MDS
  • 17. • Safety of Blood Donor & Blood Recipient (patient) because “Safe Blood” gives life, “Unsafe blood” gives infections • To ensure “Blood Safety”, – Strict “Donor Screening” at the Camp – “Testing” of collected blood to WHO specified standards – Strict “cross-matching” of blood samples to ensure safe transfusion to patient DR.VINAMRA DHARIWAL MDS
  • 18. Pre-Donation information • Blood is taken ONLY from Voluntary Donors • Using sterile, disposable blood bags & instruments • Donated Blood is tested and separated into components benefiting 3-4 patients • It is safe to donate every 3 months • It is quick and safe. • It doesn’t hurt. • It saves 3 to 4 lives. DR.VINAMRA DHARIWAL MDS
  • 19. Procedure for Voluntary Blood Donation Pre-Donation: 1. Donor Screening 2. Donor Eligibility criteria 3. Deferral Criteria (Donor Consent Form) 4. Medical examination Blood Donation: 5. Blood donation procedure Post donation 6. Rest, advice & refreshment 7. Donor Certificate, Donor ID card DR.VINAMRA DHARIWAL MDS
  • 20. 1. Donor Screening • Safe Donor selection involves – 1. Identification of low risk populations 2. Donor education and recruitment 3. Encouraging self deferral based on “Deferral Criteria” 4. Medical Examination before donation • Voluntary Non-remunerated Repeat Donor (VNRD) is safest DR.VINAMRA DHARIWAL MDS
  • 22. 2. Donor Eligibility Criteria Wt > 45 Kg • Who can donate? • Age: 18 - 60 years • Weight : > 45 kgs • Hemoglobin level: >12 gms/dl for men and 12.5 gms/dl for women • In good health DR.VINAMRA DHARIWAL MDS
  • 23. Life long 1 year 6 Months х Abnormal bleeding o Surgery o Tattooing or disorder body piercing х Heart, Kidney, Liver o Typhoid Disorder o Dental х Thyroid disorder o Dog bite extraction х Epilepsy, Mental disorders o Unexplained o Root canal weight loss treatment х Tuberculosis, Leprosy, х Asthma o Continuous o Malaria х Cancer low grade fever o Vaccination х Insulin dependent diabetics х Uncontrolled High BP DR.VINAMRA DHARIWAL MDS
  • 24. 3. Deferral Criteria… (Donor Consent Form) Postpone donation for 6 months if you have risk factors for HIV/AIDS , such as.. • Having sex with more than one partner without using condom for vaginal, anal or oral sex • Intravenous drug abuse • Having sex with a person who could have the above risk factors DR.VINAMRA DHARIWAL MDS
  • 25. 3. Deferral Criteria… (Donor Consent Form) Female donors cannot donate blood…… • During pregnancy • After delivery for one year • When lactating • During menstrual period and for 7 days therafter Male donors cannot donate blood…… • If cosumed Alcohol in the previous 24 hours DR.VINAMRA DHARIWAL MDS
  • 26. 4. Medical Examination at camp • Blood test for: – Blood grouping – Hemoglobin • Blood pressure • Pulse • General physical examination DR.VINAMRA DHARIWAL MDS
  • 27. 5. Blood Donation Procedure Remember! The Donor Must …. • have had good rest / sleep • have had light meal • be mentally prepared DR.VINAMRA DHARIWAL MDS
  • 28. 5. Blood Donation Procedure Volume of blood collection Donor Blood Amount Used for Weight collected 45 kgs -55 350ml Single bag Whole Blood kgs > 55 kgs 450 ml Double / Blood Triple bag Components DR.VINAMRA DHARIWAL MDS
  • 29. Post Donation Advice • Drink lots of fluids for next 24 hours • Avoid smoking for one hour & alcohol till after a meal • Don’t use elevator to go up immediately after donation as it will make blood rush to your feet & make you dizzy! • Avoid highly strenuous exercises & games for a day • If you feel dizzy, lie down & put your feet up. You will be alright in 10-20 mins. • Remove band-aid after 4 hours. If it bleeds, apply pressure & reapply band-aid. If bruised and painful, apply cold-pack 4 to 5 times for 5 mins each. The bruise is due to blood seeping into the surrounding tissue. It will take a few days to get reabsorbed. • DR.VINAMRA DHARIWAL MDS
  • 30. 6. Testing at Blood Bank for Transfusion Transmissible Infections (TTIs) Blood collected at the BDC is screened using highest quality screening tests for 6 TTIs • HIV 1 • HIV 2 • Hepatitis B • Hepatitis C • VDRL (syphilis) • Malaria DR.VINAMRA DHARIWAL MDS
  • 31. Counselling for “Reactive” donors If a blood sample tests positive for any TTI, then…. • Tests are repeated in duplicate • Complete confidentiality is maintained about the test results • only the donor is informed, counseled & encouraged for further testing • Referrals to health experts are provided along with follow-ups DR.VINAMRA DHARIWAL MDS
  • 32. 7. Blood Products / Components & their uses Blood collected is screened for TTIs (infections) & IF SAFE, is separated into components & stored for issue to patients. • Whole blood – For Exchange Transfusion in Babies – Accident Victims – Complicated Delivery cases – Some specific surgeries • Blood Components – Red Cells (for anemia) – Fresh Frozen Plasma (for clotting disorders, burns) – Platelets/Platelet rich plasma (for cancer, dengue) – Cryoprecipitate (for clotting disorders) – Cryo Poor Plasma (for burns) DR.VINAMRA DHARIWAL MDS
  • 33. What can YOU do? • Make Blood Donation a HABIT • Donate regularly – every 3 months to commemorate special days like birthdays, anniversaries …. • Motivate others to donate • Refer your friends and relatives DR.VINAMRA DHARIWAL MDS
  • 34. Benefits to Donor of blood donation Health benefits: Regular donation (2-3 times a year….) – Lowers cholesterol – Lowers lipid levels – Decreases incidence of heart attacks, strokes Donor is also eligible to receive BLESSINGS Spouse/ Child/ Parents, and – Even friends DR.VINAMRA DHARIWAL MDS
  • 37. Thank You… DR.VINAMRA DHARIWAL MDS