AB ID Flashcards

1
Q

At immediate spin there is +2 reactivity in SCI and SCII but none is SC3, at 37 degrees SCI/SCII are now at +1 reactivty, AHG there is no reactivity confirmed by AHG. What is this ab?

A

Igm Antibody clinically significant

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2
Q

What must you check for?

do what control?

A

allo and auto anitbodies

do an autocontrol with 3% and plasma

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3
Q

Clinically significant anitbodies definition and example

A

react at body temp and destroy ag+ rbcs

hemolytic transfusions or HDN

example Anti-M

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4
Q

Alloantibody

A

preventable
pt missing Ag
transfuse compatible cells

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5
Q

Autoantibody

A

unrelated to transfusion
pt has ag
transfuse only as necessary

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6
Q

Autocontrol

A

self vs self
plasma vs rbc

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7
Q

Phenotype

A

self vs ab
rbc vs known substance

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8
Q

Ab-ID

A

self vs cell
plasma vs cells

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9
Q

Low incidence Ag

A

presence in less than 10% of the population, ab rare because likelyhood of exposure is low

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10
Q

High incidence Ag

A

present in greater than 90% of the population, ab rare becasue pt being able to make ab is low

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11
Q

High titer low avidity Ab (HTLA)
nus
weak,big,blcoks

doesnt cause

A

nuisance ab
weak reactivity, big titer, block ab from being apparent

dont cause HDN/TFR

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12
Q

Chido/rodgers are neutralized by?

A

ab neutralized by plasma

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13
Q

JMH ag destroyed by

A

enzymes

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14
Q

Ab Titer

A

specific test to diagnose

ab titer remove so underlying allo-ab can be detected

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15
Q

First steps

A

blood type/phenotype/ABO AB ID

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16
Q

3 point rule out

A

1 homozygous rule out = 2 points
1 heterozygous rule out = 1 point

exception kidds/duffy (homozygous rule out only)

17
Q

3+3 rule

A

3 cells w ag agglutinate + 3 cells w/o the ag dont aggultinate

Pros: easy pattern math for statistical rule in

Cons: can not guarentee rule out all other w/ only 3 cells

18
Q

First find out what is not…

A

then what is left, then could it be ?

19
Q

If autocontrol gives mixed field, what does this mean?

A

pt has been transfused