Blood Bank

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Immunohematology
The study of blood and blood forming tissue in relation to the immune response
Blood Bank

Facility that collects, tests, processes, stores and distributes blood components -Main Goal:Provide quality services and safe blood products
Transfusion services
Facility (usually part of a hospital laboratory) that performs compatibility testing, storage, selection and issuing of blood products to intended recipients
Routine Testing
Blood type, Ab screening, crossmatch, DAT
Reference Lab
Problem solving, abnormal ABO/Rh type, ID of unexpected antibodies, difficult crossmatch
Donor Center
Screen/draw donors, collect and divide into components, store and ship
Component Preparation
Blood from donor center to divide into components RBC, plasma (FFP), platelet concentrates Patient only gets what he/she needs One donation for >1 recipients
Where are antibodies located?
In the serum
(SERUM=ANTIBODY)
Where are antigens?
Antigenic determinants are on RBCs Patient’s or pooled human RBCs
(RBC'S=ANTIGEN)
Agglutination has 2 STEPS:
1. Sensitization Attachment of antigen to antibody 2. Agglutination Lattice formation makes reaction visible
Name two antibodie classes
IgG and IgM
Serum to cell ratio
80:1 (is ideal)
Site of antigens
ABO antigens: Protrude from RBC surface Rh antigens: Part of RBC membrane, therefore harder for antibody to attach
What is dosage?
Antibody reacts more strongly with homozygous cells than with heterozygous cells Infrequent situation
What does complement have to do with blood bank reactions?
Antigen + antibody + complement=lysis rather than agglutination -Lysis is also a positive reaction