Final Flashcards
List the reagents and patient specimen used in an antibody screen.
Reagents: screening cells, LISS, and check cells
Specimen: patient serum or plasma
What is the purpose of the DAT, i.e. what does it detect?
Detects antibodies and complement attached to RBCs in vivo
– HDN, HTR, AIHA
List the components of DAT
- patient cells
2. AHG
If a Rh control tube is necessary in the Rh testing, and it is positive, the interpretation of the Rh type is what?
Invalid
Name and differentiate the two types of AHG that can be used in BB
- Broad spectrum/ polyspecific: contains both anti-complement (C3d) and anti-IgG
- Monospecific:contains either, but not both
What is the purpose of the IAT, i.e. what does it detect?
Detects antibodies and complement attached to RBCs in vitro
– used for XM and to screen cells
List the components of IAT
- patient serum
2. screening cells
Name two blood bank procedures that incorporate the IAT
- crossmatching
2. Antibody screen
List the steps in D^u testing, including the tubes included in the test.
Tubes: D test and Rh control test tubes
- Incubate both tubes at 37C for 15 mins
- Wash cells 3 times with saline
- add 2 drops of AHG to each tube and mix
- Centrifuge on high for 15 seconds
- Add 1 drop of check cells to any non-reactive tubes (results should be +)
(IWACA - to help remember the steps thanks to Angie!!!)
In the fetal bleed screening test, the presence of agglutinated cells indicates that the maternal blood contains a significant number of what?
Rh positive fetal cells
What term is used to describe the agglutination that constitutes a positive test?
rosettes
What test is used to determine the amount of fetal cells present in the maternal circulation.
Kleihaure- Betke Test
The AABB requires that Rh ____ mothers who have Rh ____ babies have the fetal bleed screening test performed.
Rh negative mothers with Rh positive babies.
If a mother is Rh negative and has a baby that is Rh positive name three situations that may warrant the Kleihaure- Betke Test to be performed.
Abortion
trauma
miscarriage
List 4 conditions that DAT can be used to detect.
- HDN
- AIHA
- HTR
- Drug-induced RBC sensitization