VOP-BLOOD TYPING Flashcards

1
Q

What are proteins on the surface that stimulate immune response with antibodies that cause cell to clump?

A

•Agglutinogens

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2
Q

What are antibodies to blood surface protein absent in the host body?

A

•Agglutinins- from exposure, meat, playground.

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3
Q

If I am AO pos, I would have been exposed to what agglutinin/AB?

A

B agglutinin in my plasma from exposure

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4
Q

Do we have only one agglutinogen on surface of RBC?

A

NO- numerous antigens on RBC

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5
Q

Which are most like to cause a transfusion reaction?

A

OAB and RH

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6
Q

What are the MC common blood types?

A

O and A+ Type determined by alleles from parents

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7
Q

Which type is recessive?

A

O is recessive. AB are codominant

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8
Q

What indicates having the Rh factor?

A

(+) means RH

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9
Q

Which blood type has no agglutinin?

A

AB. Surface A B agglutinogens- RECIPIENT, no transfusion rxn

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10
Q

Which Blood type had A and B agglutinin?

A

Type O- no agglutinogens- DONOR

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11
Q

What occurs when RBC exposed to antibodies on surface of RBC?

A

Agglutination-clumping of cells. Important to not have Type B blood given to Type A b/c Type B antibody a would merge with Type Blood A surface protein. clump and lysis

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12
Q

Why does it take large exposure to mount hemolysis with RH type agglutinin?

A

slower formation than OAB. RH- 6 proteins Cc,Dd,Ee

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13
Q

What RH protein confers positive or negative?

A

D most prevalent and antigenic. Rh +means D subtype. Rh- means C or E subtype

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14
Q

Why is it not necessary to treat pregnant with Rh for the 1st time?

A

Senistiaxion occurs with repeated exposure. 1st exposure to Rh+ w/ Rh- mount mild immune response. Treat if mount response to Rh- fetus

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15
Q

What is agglutination and phagocyte of fetus RBCs in baby Rh+ and Rh- mother via Rh- ABY diffusing to placenta?

A

Erythroblastosis fetalis

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16
Q

What occurs with 3rd baby in same Rh- mother?

A

Chance INC to EF anemia 10%

17
Q

What is clinical presentation of baby with Erythroblastosis fetalis with Rh- mother?

A
  1. Jaundice- hemoglobin release 2. Anemia 3. HSM 4. INC erythroblast/reticulocyte count- marrow over producing 5. Death d/t anemia or mental impaired by kernicterus: hgb build up
18
Q

How do you treat newborn?

A

Exchange w/ Rh- cells plasmapheresis

19
Q

Can you give O+ to an O-?

A

Diluted blood less rxn

20
Q

Which would be faster reaction of hemolysis?

A

If Rh incombitalby delayed rxn. OAB incompatible FAST

21
Q

What would be the ADE?

A

jaundice and severe renal/liver effects

22
Q

Why is blood typing important for organ transplant?

A

RBC are everywhere. Tissue type similar to RBC antigens Types- xeno, allo, auto

23
Q

What is antibody to human IgG testing?

A

Coombs test

24
Q

What is difference between Direct Coombs test and Indirect Coombs test?

A

Direct- IGG bound to RBC Indirect- IGG in plasma. IGG major antibody for chronic immune response, if body has antibody to it, body will attack itself

25
Q

What test is done before transfusion for compatibility?

A

Indirect Coomb

26
Q

What is testing for antibodies bound to recipient cells?

A

Direct for transfusion reaction

27
Q

What test is used to conduct Coomb test to determine if Pt will react?

A

TYPE and SCreen

28
Q

What is Type and cross?

A

Direct Coomb test w/ DONORs RBC to access reaction to actual transfusion- Always order 2 units or more