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24 Cards in this Set

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0/- grading

no agglutination or hemolysis

+w grading

tiny agglutinates, free cells in backround, visible microscopically

1+ grading

small agglutinates, free red cells in backround.

2+ grading

medium agglutinates, clear backround.

3+ grading

several large agglutinates, clear background.

4+ grading

one solid agglutinate.

forward typing

using known sources of reagent antisera (antibodies) to detect antigen on an individuals red cells.

reverse typing

using reagent cells with known ABO antigens and testing to plasma or serum of the patient for ABO antibodies

lectin from Dolichos biflorus will agglutinate red cells of which phenotype

A1 and A1B



it will differentiate A1 from A2

what is the only antigen of the Rh system that is included in routine tests

D

msot Rh antibodies result from antigenic stimulation by

pregnancy or transfusion.

if the D control is positive can you interpret the result of the D typing

cannot trust the D typing, the control should always be negative.

what does IAT determine

in vitro sensitization of red cells.

IAT is used in what

1. detection of patient antibodies in serum to donor red cells (compatibility testing)


2. detection of antibodies to screeing cells or panel cells (antibody screen and antibody identification)


3. determination of red cell phenotype using known antisera.

cells to be tested i the antiglobulin test are washed thoroughly to

remove unbound protein

After the addition of check cells to a negative antiglobulin test, the test is invalid if there is

no agglutination

3 potential causes of a false-negative antiglobulin test

1. failure to wash cells adequately during the test procedure before addition of AHG reagent


2. failure to identify weak positive rxns


3. inappropriate red cell concentrations - red cell suspensions fall outside of optimal 2-5%

why are group O cells used for antibody screens and panels

so the anti-A and anti-B will not react

Zeta potential

Distance between cells caused by charged ions

clinically significant antibodies usually react at what phase

AHG

What antibodies does gel system test for

IgG

one advantage of the gel system

easy to interpret

grading range of the gel system

0-4+

what suspension are screening cells for gel technology

0.8%