Blood Typing Flashcards

1
Q

what determines blood type

A
  • genetics

- based on what antigens (glycolipid) you have on the surface of your RBCs

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2
Q

antigen

A
  • marker
  • present on all cells
  • tell immune system that those are your cells so immune system doesn’t attack
  • can be proteins, glycoproteins, glycolipids, etc
  • trigger immune response if there are antigens present that aren’t yours
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3
Q

4 possible blood types

A
  • O
  • A
  • B
  • AB
  • based upon which sugars compose glyco part of glycolipid
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4
Q

type O blood

A
  • most common in US

- doesn’t have any extra sugars

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5
Q

type AB blood

A
  • least common in US

- has 2 basic sugar structures with extra sugar on each

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6
Q

basic 3 sugar structure

A

-present on all blood types

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7
Q

plasma cells

A
  • part of immune system

- release antibodies

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8
Q

antibodies

A
  • bind to antigens
  • view anything foreign as an enemy
  • bind and link foreign cells, targeting for destruction
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9
Q

linked foreign cells

A
  • bad b/c you have little capillaries that only allow one RBC through at a time
  • clumped RBCs (from non-match donor)
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10
Q

agglutination

A
  • clumping together of RBCs mediated by antibodies
  • occurs if getting non-match blood transfusion
  • RBCs clump and block blood flow in vessel or release “free” hemoglobin
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11
Q

free hemoglobin

A

-leads to kidney failure

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12
Q

O antigen

A

-none

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13
Q

O antibody

A
  • Anti- A

- Anti-B

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14
Q

A antigen

A

-A

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15
Q

A antibody

A
  • Anti-B- if sees B -> clumps

* dont’ want Anti-A b/c would lead to agglutinate

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16
Q

B antigen

17
Q

B antibody

18
Q

AB antigen

19
Q

AB antibody

A

none

-doesn’t want A or B b/c would attack itself

20
Q

if mix antibody with antigen it doesn’t like

A
  • clumping occurs

* nothing happens if doesn’t see what it doesn’t like

21
Q

D antigen (Rh factor)

A

-antigen with major role during proper fetal hemolytic development

22
Q

Rh+

A

-you have D antigen

23
Q

Rh-

A
  • do not have the D antigen

- if exposed to D antigen, body doesn’t like and makes antibodies for it

24
Q

antibody development

A
  • automatically develop antibodies that reciprocate your blood antigens
  • only develop Rh antigens if exposed to them
25
Rh- receives Rh+ blood for trauma 1st exposure
- transfusion results in nothing happening (no agglutination) at first - don't have antibodies upon first exposure - being exposed to Rh antigen causes body to start making antibodies
26
Rh- receives second exposure Rh+ blood
-agglutination occurs
27
Rh- mom 1st pregnancy w/ Rh+ baby
- no problem - don't have anti-bodies yet - placenta protects mixing of fetal and maternal blood, so don't see antigen on RBCs - when delivering placenta rips, so you are exposed - immune system starts making antibodies for baby's Rh+ antigen * stimulates immune system formation of anti-Rh antibodies
28
Rh- mom 2nd pregnancy w/ Rh+ baby
- now have Anti-Rh antibodies - antibodies CAN cross placenta into baby's blood - results in agglutination of baby's blood
29
Hemolytic disease of the newborn (HDN)
- aka erythroblastosis fetalis - agglutination of Rh+ baby's blood caused by Rh-mother's anti-Rh antigens - baby's RBCs lyse
30
Rhogam shots
- "covers" baby's Rh antigen, so Rh- mom doesn't attack - even if blood mixes during delivery, Rh-antigens are covered * ALL Rh- moms get shots for precaution
31
why can A type mom have B type baby
anit-A and anti-B antibodies don't cross placenta