Lab Tech Exam 1 Flashcards
Blood group antigens may react with what in the plasma of another animal
Antibodies
Structures on the surface of erythrocytes
Genetically determined and referred to as blood group …
Antigens
This reaction can occur with blood transfusions as a result of variation in blood group antigens between the recipient and donor
Antigen-antibody reaction
Feline blood types (3, letters)
A, B, AB
Greater than 90% of cats in US are blood type….
A
This blood type is more common in certain purebred cats
Type B
This blood type is rare in cats
AB
Naturally occurring antibodies against other blood types are found in all cats by the time they are how old?
A few weeks old
Cats with blood type B have strong antibodies against what type?
Type B cats can suffer fatal reactions if given this type of blood.
Type A
Cats with type A blood have weak antibodies against what type?
Type A cats generally have a mild reaction if given this type of blood.
Type B
This cat blood type lacks naturally occurring antibodies and can safely receive blood from the other 2 types.
Type AB
This cat blood type is a universal recipient
Type AB
Condition that occurs if mom has antibodies against kitten’s blood type.
Ex: type A or AB kittens born to type B dams
Kitten ingests the maternal anti-A antibodies in colostrum which causes hemolysis in kitten
CX: acute death, fading kittens, tail-tip necrosis
Neonatal isoerythrolysis
Canine blood types
DEA 1.1, 1.2, 3, 4, 5, 6, 7, 8
DEA stands for what
Dog erythrocyte antigen
Dogs can be ….. for either (not both) DEA 1.1 or 1.2 or they are …. for both.
Positive
Negative
Most dogs do or do not have naturally occurring alloantibodies against erythrocyte antigens like humans.
Do not
These are antibodies against an antigen that exists in alternative forms.
Alloantibodies
In canines, antibodies can develop and result in a …….. transfusion reaction in as little as a week after the original transfusion.
Delayed
The majors antigens for dogs are which 3 blood types?
DEA 1.1, 1.2, & 7
Transfusion reactions are more or less likely to occur if blood positive for DEA 1.1, 1.2, or 7 is transfused to negative dogs.
More likely
Approximately 50% of dogs are positive for ….
DEA 1.1
First time canine transfusion of non-cross matched or typed blood produces a reaction rate of approx…
15%
Subsequent transfusion reaction rates for dogs show what trend?
Increase significantly
What should be done before transfusing any dog with a history of a blood transfusion?
Cross-match
Breeds more commonly DEA 1.1 positive are (2)
Golden retrievers and Labradors
Blood from dogs that are DEA ….. negative is not likely to cause a problem in most dogs, but donors should be typed for all antigens.
DEA 1.1 negative
What canine blood type is the true universal donor?
DEA 4
This species has no apparent blood type
Ferrets
8 major blood groups in horses
QUACKD PT
Are there any universal blood types for horses?
None
These can be present as a result of vaccinations containing equine tissue or transplacental immunization.
They are also naturally occurring.
Antibodies
Should cross matching be done before the first transfusion in horses?
Yes!
Transfusion reactions in horses are commonly
Fatal
This condition seen in nursing offspring can also occur in horses.
Isoerythrolysis
11 bovine blood groups
A B C F J L M R S T Z
This bovine blood group is polymorphic, with more than 60 different antigens
Group B
These antibodies are the only common natural antibodies in cattle
Anti-J antibodies
These donors minimize transfusion reactions
J-negative
Bovine erythrocytes have little tendency to ……., therefore lyric cross match screening is required
Agglutinate
7 ovine blood groups
A B C D M R X
These ovine naturally occurring antibodies may be present
R
Ovine RBCs have little tendency to ……, similar to cattle
Agglutinate
Bovines have antibodies against what other species RBCs?
Ovine - don’t bottle feed a sheep with cow colostrum
5 major blood systems in goats
A B C J M
This society regulates:
Standardization of nomenclature of blood typing universally
Standardization of testing reagents for blood typing
Insure consistency in typing, testing, blood groups and other blood group research
International Society of Animal Genetics
This reaction may occur even when animals are administered blood of a compatible type.
This is why cross matching must be done.
Transfusion reaction
This type of testing is used is further document compatibility between blood donor and recipient
Cross matching
Blood typing focuses on the …. on the surface of the RBCS.
Antigens
Cross matching focuses on ….. in the plasma.
Antibodies
Blood typing: if the patient sample shows agglutination in the well marked Type A, the cat tested has blood group …
A
Blood typing: if the patient sample shows agglutination in both patient wells, the cat tested has blood group….
AB
Dogs can be checked for DEA …. In house using commercially available card
DEA 1.1
To fully blood type dogs, bloods needs to be….
Sent to outside lab
Blood typing for large animals is ……..for routine analysis before transfusion.
Impractical
Large animal blood can be typed by
Sending to outside lab
Blood typing does not eliminate the need for this test
Cross matching
There are other undetectable factors that can cause incompatibility (3)
Immune-mediated diseases
RBCS diseases
Previous transfusions from 4 days prior
A blood cross match (BCM) is performed to detect ……… Imcompatibility. (Remember: use red top tube for cross matching)
Serological
This type of cross match tests the recipient’s serum for antibodies to the donor’s RBCs.
Since the main aim of the transfusion is to provide the recipient with RBCs, it is most important that the recipient’s serum antibodies do not destroy these cells and in doing so evoke a reaction.
Major cross match
This type of cross match assesses the risk of recipient cell destruction by the donor serum.
Much smaller risk because volume of transfused serum will comprise only a small volume of the recipient’s total serum.
Minor cross match
How much blood is needed for a cross match?
What type of tube should it be placed in?
1 ml from both donor and recipient
Both in EDTA tubes (purple top)
After obtaining blood from the donor and recipient, what is the next step in a cross match?
Separate the plasma from the red cells via centrifugation of both tubes, at blood speed (very slow) for 10 min
For cross match: after blood has been centrifuged, what is the next step?
Separate plasma and packed red cells into 4 separate plastic tubes, labeled donor plasma, recipient plasma, donor RBCs, recipient RBCs.
Cross match: after the serum and RBCs are in separate tubes, what is the next step?
Suspend 0.2 mls of donor and recipient RBCs into 4.8 mls of 0.9% saline in separate syringes and gently mix.
Cross match: what is the next step after rinsing the RBCs of the donor and recipient?
Prepare 4 slides: donor and recipient controls, minor and major cross matches.
What do the control slides contain for the cross match?
Donor control: 1 drop of donor plasma, 1 drop of donor rinsed RBCs
Recipient control: 1 drop of recipient plasma, 1 drop of recipient rinsed RBCs
What is on the minor cross match slide?
1 drop recipient rinsed RBCs
1 drop donor plasma
What is on the major cross match slide?
1 drop recipient plasma
1 drop donor rinsed RBCs
After slides have been made for cross matching, what should be done?
Mix gently and examine both grossly and microscopically (high dry) for hemolysis and agglutination. Rouleaux formation is normal.
If the recipient control is auto-agglutinating, should a cross match be performed?
No
Which control slide will allow you to look for auto-agglutination?
Recipient
The cross match is what type of agglutination reaction?
Type 1 hypersensitivity
Which control will allow you to observe the unit for RBC viability, bacteria, hemolysis, etc?
Donor control