What happens if you donate plasma after donating blood

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Patients across the United States depend on plasma protein therapies to treat rare and sometimes chronic diseases. You may donate plasma at one of the hundreds of licensed and certified plasma collection centers nationwide.

COVID-19 Vaccinations?

In most cases, you can give plasma after getting a COVID-19 vaccine if you are symptom-free and feeling well at the time of the donation! Ask your donation center for more information.

How to Give Plasma

While each center has a specific process, it’s a good idea to do these things before you donate plasma. Ask the donation center if they want you to do anything else to prepare for your visit.

Before Your Donation

  1. Find a plasma donation center by searching online for “plasma donation near me” or on the Plasma Protein Therapeutics Association (PPTA) website.
  2. Contact your local center to find out which experiences, health conditions, or medications may temporarily or permanently prevent you from donating plasma at this donation center.
  3. Prepare for your appointment by getting plenty of rest, especially the day night before you donate, drinking plenty of water or other caffeine-free beverage 2-3 hours before your plasma donation appointment, and eating a healthy, low-fat meal before you donate. You should avoid nicotine and alcohol before you donate.

During Your Visit

  1. When you donate, you will be asked to provide documentation and need to pass medical exams, screening, and testing before you become eligible to donate. It’s a good idea to check with the specific donation facility to learn the specific requirements for donation ahead of time.
  2. Once you meet the eligibility requirements of the donation facility, a technician will get you ready to donate and make you comfortable.
  3. Your blood will be drawn, and the plasma will be separated from your blood by a machine that collects plasma.
  4. The other parts of your blood, such as the red blood cells, are returned to your body.

After Your Donation

  1. Keep your bandage on for the next several hours and keep this area clean by washing with soap and water after you take it off.
  2. The first donation can take about 2 hours, and maybe a little more time. Return visits can take about 90 minutes and may be quicker. Generally, donors are compensated for their time.
  3. Please consider donating plasma again! New donors must donate plasma within 6 months before a donation can be used. You can donate plasma every two days, and no more than twice in a 7-day period.

General Eligibility Requirements

Donor eligibility varies. Check with the facility to determine their specific requirements, but generally plasma donors should:

  • Be 18 years of age or older,
  • Weigh at least 110 pounds,
  • Pass a medical exam and complete an extensive medical screening, including testing negative for hepatitis and HIV,
  • Not have gotten a tattoo or piercing within the last 4 months, and
  • Follow a recommended diet.

Potential Side Effects

The U.S. Food and Drug Administration regulates plasma collection in the United States. For most people, donating plasma does not cause any side effects, but some donors can experience fatigue, bruising, bleeding, or dehydration. Additionally, you may feel dizzy or lightheaded. While not typical, fainting can also occur. It’s rare, but more serious infections or reactions can occur, which can be treated.

If you experience severe symptoms, contact a doctor immediately. If you experience general side effects, it can help to rest, drink more water, and eat more iron-rich foods. For dizziness or fainting, lie down or sit with your head between your knees. For bleeding, raise your arm, apply pressure, then place a bandage over the area for several hours.

Helpful Resources

Learn about blood donation too!

Donating blood one-time can help save the lives of up to three people. Find out more

Have questions about donating plasma? Find answers here:

  • Find a Plasma Donation Center (DonatePlasma.org)
  • What is Plasma (DonatePlasma.org)

Content created by Office of Infectious Disease and HIV/AIDS Policy (OIDP)
Content last reviewed March 10, 2022

Is donating plasma safe?

Donating does a lot of good. Blood plasma is needed for many modern medical therapies. These include treatments for immune system conditions, bleeding, and respiratory disorders, as well as blood transfusions and wound healing. Plasma donation is necessary to collect enough plasma for medical treatments.

Donating plasma is mostly a safe process, but side effects do exist. Plasma is a component of your blood. To donate plasma, blood is drawn from your body and processed through a machine that separates and collects the plasma. The other components of the blood, such as the red blood cells, are returned to your body mixed with saline to replace the withdrawn plasma.

Donating plasma can cause common but usually minor side effects like dehydration and fatigue. Serious side effects may occur as well, although these are rare.

Plasma contains a lot of water. For that reason, some people experience dehydration after donating plasma. Dehydration after donating plasma is usually not severe.

Plasma is rich in nutrients and salts. These are important in keeping the body alert and functioning properly. Losing some of these substances through plasma donation can lead to an electrolyte imbalance. This can result in dizziness, fainting, and lightheadedness.

Fatigue can occur if the body has low levels of nutrients and salts. Fatigue after plasma donation is another common side effect, but it’s usually mild.

Bruising and discomfort are among the milder and more common side effects of plasma donation.

When the needle pierces the skin, you may experience a pinching feeling. You may also experience a dull, pulling sensation at the needle site as blood is drawn from your vein, into the tubing, and then into the machine collecting your plasma.

Bruises form when blood flows into soft tissues. This can happen when a needle punctures a vein and a small amount of blood leaks out. For most people, bruises go away in days or weeks. But if you have a bleeding disorder, it may take more time.

Any time a needle is used to pierce the skin, there is always a small risk of infection. Punctured skin tissue allows bacteria from outside the body to get in. The needle may carry bacteria not only beneath the skin’s surface, but into a vein. This can lead to an infection at the injection site and surrounding body tissue or in the blood.

Signs of an infection include skin that feels warm and tender and looks red and swollen, with pain at and around the injection site. If you notice signs of infection, it’s important to see a doctor right away to prevent complications.

A citrate reaction is a very serious but very rare side effect of plasma donation.

During a plasma donation, the technician will infuse a substance known as an anticoagulant into the blood collected in the plasma-separating machine before the blood is returned to your body. This anticoagulant is meant to prevent blood clots from forming. The plasma in the machine retains most of the citrate, but some will also enter your bloodstream.

In the body, citrate binds together a small amount of calcium molecules for a short amount of time. Because this effect is small and temporary, most people experience no side effects from citrate. However, a small number of people who donate plasma experience what’s called a “citrate reaction” from the temporary loss of calcium.

Signs of a citrate reaction include:

  • numbness or tingling, especially in the lips, fingers, and toes
  • feeling vibrations throughout the body
  • experiencing a metallic taste
  • chills
  • shivering
  • lightheadedness
  • muscle twitching
  • a rapid or slow pulse
  • shortness of breath

If these symptoms are left untreated, they may become more severe. Severe symptoms include:

  • spasms
  • vomiting
  • shock
  • irregular pulse
  • cardiac arrest

An arterial puncture is a very rare side effect that can occur any time a needle is used to tap into a vein. During a plasma donation, a technician starts by inserting a needle into a vein in your arm. An arterial puncture can happen when the technician accidentally misses your vein and instead hits an artery. Because arteries have higher blood pressure than veins, a puncture can lead to bleeding into the arm tissues around the puncture site.

The signs of an arterial puncture include a faster blood flow and lighter-than-usual color of blood running through the tubes to the machine collecting your plasma. The needle and tubes used may appear to move or pulsate with the increased blood flow. You may experience weak pain near your elbow.

If the needle accidentally hits an artery, the technician will remove it immediately and hold pressure on the needle insertion site for at least 10 minutes. Continued bleeding from the needle insertion site after holding pressure is rare, but requires emergency medical attention.

Make sure you’re visiting an accredited center. Your donation center should put you through a screening process that involves taking an initial blood test, filling out a questionnaire, and performing a physical exam. A red flag is if your donation center does not go through these processes. Check with the American Red Cross to find the accredited plasma donation center closest to you.

Monitor how frequently you donate. You can donate plasma every 28 days, up to 13 times per year. While the FDA does allow donors to give plasma more frequently, this is the best practice for safety, according to the American Red Cross. The whole process takes about an hour and 15 minutes.

Hydrate before your visit. Drink an extra 16 ounces of clear, nonalcoholic fluids (preferably water) before your donation. This can help prevent dizziness, fainting, lightheadedness, and fatigue, some of the most common side effects associated with plasma donation.

How long do you have to wait to donate plasma after donating blood?

If you are a blood donor you can give plasma 4 weeks after your last blood donation. You will have to stop donating blood while you give plasma. Please wait 48 hours from your vaccine before donating (you can attend on the 3rd day from the date of your vaccine).

What are the long term effects of donating blood plasma?

As mentioned above, there is risk of low immunoglobulin levels because it takes time for the levels to replenish. Those who donate frequently and long term may also be at risk for anemia from incidental loss of red cells during donation. After your donation, you may feel thirsty and tired.

Is it better to give blood or to give plasma?

Plasma donations are a great fit for anyone who wants to earn extra while having a meaningful impact on the lives of others, while whole blood donations are perfect for those who are short on time, but still want to give back.

Do they put the blood back in after taking out of plasma donation?

It separates out the plasma and returns the remaining blood components to your body. Your blood cells (red and white) and platelets are returned to your body via the machine.

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