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30 Cards in this Set

  • Front
  • Back

what are surface antigens

cell surface proteins that identify cells to the immune system

how are blood types determined

genetically

what are the 4 basic blood types
A, B, AB, O,

what are agglutinogens (Ag)

low molecular weight antigens on the glycocaylx (the sticky surface) of the RBCs


-this is what the immune system screens for non-body cells

antibody (Ab), aka agglutinin

a protein secreted in response to a specific Ag

what are Ab (agglutinin) proteins produced and secreted by

specific B-lymphocytes

where are Ab found

in the liquid portion of blood (plasma)

what do plasma antibodies (agglutinin) do

attack antigens (which are usually foreign and usually protein)

what does it meean for Ab to agglutinate antigens

attack them; they clump together around them

what is the Rh factor (D antigen)

the + or - value of blood.


only sensitized (have been exposed) have anti-Rh antibodies

what is a cross reaction (transfusion reaction)

plasma body meets its specific surface antigen


-blood will agglutinate and hemolyze



when can a cross reaction happen

donor and recipient blood types are not compatible

why would someone who has A blood, that receives a donation of O blood, not experience agglutination and hemolyzation?

the AB antibodies get diluted out in the recipients bloodstream.


-this is only an issue in large transplants

for a blood type test, what does clotting mean

there are antibodies for that blood type

what is a cross-match test

donor blood is exposed to recipient plasma

what type of blood is used if you can't do a cross match

O- is universal donor

what is the blood type of a person who has no aggutinogens but the Rh antigen

O+

what is the blood type of a person who has B agglutinins and no Rh antigen

A-

what is the blood type of a person who has be agglutinogens and the Rh antigen

B+

why does a Rh- mother's body react to her Rh+ fetus

the Rh+ blood factors that get into the maternal circulation act as antigens

why is the first pregnancy of a Rh- mother with an Rh+ fetus not a danger

the IgM are too large to leave her blood and harm the fetus

how do we prevent erythroblastosis

RhoGAM- anti Rh+ Ab that is given halfway though pregnanct or within 72 hours of birth (or abortion)



what does RhoGAM do

destroys any fetal RBCs that enter the maternal circulation before the mother can mount an immune response

what is the mean corpuscular volume (MCV)

the average volume (size) of an erythrocyte

what is the normal range for erythrocytes )the noromocytic cells)

~90 cubic microns

what is a value that would make a cell macrocytic

>101 cubic microns

what is a value that would make a cell microcytic

<8- cubic microns

what is the Mean corpuscular hemoglobin (MCH)

average weight of an erythrocyte

what is the normal MCH

~30 picograms

what is the mean corpuscular hemoglobin concentration (MCHC)

the weight to volume relationship expressed as a percentage 33-38%