blood types and transfusions Flashcards

1
Q

what did James Blundell do

A

he was the first person to transfuse blood from one human to another in 1667

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2
Q

what did Jean Denis do

A

transfused blood from animals to humans in 1666

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3
Q

what did Karl Landsteiner do

A

discovered ABO blood groups

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4
Q

how are blood groups classified

A

based on the presence of specific antigens and antibodies

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5
Q

what are the 4 major types of blood groups

A

A - more common than B

B

AB - most rare

O - most common

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6
Q

what is the rarest blood group

A

AB

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7
Q

what is the most common blood group

A

O

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8
Q

is blood group A more common or blood group B

A

A

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9
Q

what determines your blood group

A

the synthesis of genes for the A antigen or B antigen

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10
Q

what do people who have neither the gene that results in the synthesis of A antigen OR B antigen

A

O-type erythrocytes.

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11
Q

what antibodies do type A people have

A

Type A individuals always have anti-B antibodies in their plasma.
A ANTIGEN IS CO-DOMINANT

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12
Q

what antibodies do type B people have

A

Type B individuals always have anti-A antibodies in their plasma.
B ANTIGEN IS CO-DOMINANT

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13
Q

what antibodies do type AB people have

A

neither anti-A or anti-B antibodies in their plasma,

has A + B antigens on surface of red blood cells - UNIVERSAL RECIPIENT

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14
Q

what antibodies do type O people have

A

have both anti-A & anti-B antibodies ( has no A or B antigens) in their
plasma [type O is a UNIVERSAL DONOR since don’t have A or B antigens on
surface of red blood cell]. O antigen is RECESSIVE

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15
Q

what antibodies do type O people have

A

have both anti-A & anti-B antibodies ( has no A or B antigens) in their
plasma [type O is a UNIVERSAL DONOR since don’t have A or B antigens on
surface of red blood cell]. O antigen is RECESSIVE

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16
Q

which blood group is regarded as the universal donor and why

A

O

because it does not contain any antigens

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17
Q

which blood group is regarded as the universal recipient and why

A

AB

because it does not contain any antibodies

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18
Q

what should you look at when focusing on the recipient

A

their antibody

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19
Q

what should you look at when focusing on the donor

A

their anitgen

20
Q

what would happen is a type A person was transfused type B blood

A

1) the anti-B antibodies in the
recipients blood would attack the transfused blood

and

2) the anti-A antibodies in the
donor blood would attack the recipients blood HOWEVER this is usually of little
consequence since the the transfused antibodies become so diluted in the
recipients plasma that they are ineffective at inducing a response - it is the
destruction of the TRANSFUSED cells by the recipients antibodies that produces
problems

21
Q

what are rhesus antigens

A

transmembrane proteins expressed at the surface of erythrocytes. They appear to be used for the transport of CO2 and/or ammonia across the plasma membrane.

22
Q

what are the 5 main rhesus antigens

A

5 main Rh antigens on red cells – C, c, D, E, e. The most important of these is the Rh D.

23
Q

why is rhesus D most important

A

Having the D antigen on the red cell gives you the positive (+) and lacking it gives you the negative (-) after the letter A, B, AB or O.

24
Q

what does Rh+ mean

A

contains D-antigen, no antibodies

can receive from both Rh+ and Rh-

only donates to Rh+

25
what does Rh- mean
contains no antigens, and anti-D antibodies can donate to both Rh- and Rh+ only receives from Rh-
26
what are anti D antibodies
Unlike anti-A and anti-B, these are not naturally occurring An Rh- individual will only produce anti-D antibodies when exposed to Rh+ blood
27
how are ABO antigens inherited
in a mendelian pattern each group has a 25% chance of production
28
at what ages can you donate blood
17-65
29
what does questionnaire for donors do
highlights those at risk of infectious or transmissible illnesses takes health, lifestyle, travel, medical history, medications makes sure body weight is above 50kg test for anaemia in certain patients
30
what can cause temporary exclusion from donating blood
travel tattoos lifestyle
31
what can cause permanent exclusion from donating blood
certain infectious diseases ever received a blood transfusion or organ/tissue transplant since 1980 notified at risk of vCJD
32
what are the 2 types of donations
1. whole blood 2. apheresis - blood is removed and separated externally and then the components not needed are returned
33
what are homologous transfusions
involves someone collecting and infusing the blood of a compatible donor into him/herself (emergency)
34
what are autologous tranfusions
the collection of blood from a single patient and retransfusion back to the same patient when required
35
what are the mandatory tests on donations
Hep B HIV Hep C Syphylis Human T cell lymphotropic virus Groups and antibodies
36
what are the non-mandatory tests on donations
CMV Malaria West Nile Virus Trypanosoma
37
how are red cells stored
at 4 degrees shelf life of 35 days some units will be irradiated - to eliminate the risk of transfusion-associated graft vs host disease
38
how are platelets stored
at 22 degrees with continuous agitation 7-day shelf life if they are monitored for bacterial contamination
39
is plasma from female donors kept
no only male donors and patients born after 1996
40
how to ensure safe delivery of blood
patient identification 2 sample rule hand written patient details blood selected and serologicaly cross matched
41
what are the most common patient identification errors
wrong blood in the wrong tube lab errors (less common)
42
what mistakes can happen when delivering blood
blood transfusions delayed too much blood transfused
43
what causes TRALI (transfusion related lung injury)
AB in donor blood reacting with recipient pulmonary endothelium/neutrophils inflammatory cells cause plasma to leak into alveolar spaces symptoms - SOB - cough productive of frothy sputum - hypotension - fevers
44
what causes TACO (transfusion-associated circulatory overload
acute or worsening pulmonary oedema within 6 hours of transfusion one of the most common adverse risks of trasfusion older patients more at risk symptoms: - respiratory distress - evidence of positive fluid balance - raised blood pressure careful assessment of transfusion need and limiting amount can help to avoid
45
what causes bacterial contamination
more often with platelets occurs very soon after transfusion started symptoms: - fevers and rigors - hypotension - shock inspection of the unit may show abnormal coloration/ cloudiness
46
what causes haemolytic reactions
most serious ABO incompatibility 1. rapid intravascular haemolysis 2. cytokine release 3. acute renal failure and shock 4. disseminated intravascular coagulation 5. can be rapidly fata
47
what is cross matching
-test to see if the donor’s blood is safe for the recipient -recipient serum is mixed with the donor’s blood -if blood is not safe --> transfusion reaction (rejection)