IMMUNOLOGY, SEROLOGY, AND BLOOD BANKING Flashcards

(76 cards)

1
Q

study of immune system (prevents
the establishment if infection in the body)

A

IMMUNOLOGY

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2
Q

Study of molecules, cells, tissue, organs, and
systems whose function is to recognize and dispose
harmful substances or foreign substances
• Study of desirable and undesirable consequences of
the immune system

A

IMMUNOLOGY

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3
Q

study of antigen-antibody reactions
• Study of non-cellular component of the blood called
SERUM

A

SEROLOGY

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4
Q

Samples used in serological test:

A
  • Serum – most commonly used
  • CSF
  • Urine
  • Stool
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5
Q

Also known as FOREIGN SUBSTANCES
• Stimulate the immune system [once it has entered
the body]

A

ANTIGEN

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6
Q

• Substances that induce or elicit an immune
response

• Substances that induce or elicit the production of
antibodies

A

ANTIGEN

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7
Q

Also knowns as IMMUNOGLOBULINS

A

ANTIBODIES

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8
Q

• One of the major substances produced by the
immune system that will block harmful antigen
o Find a specific antigen, bind to it, and then
destroy it

A

ANTIBODIES

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9
Q

ANTIBODIES Functions

A
  • Cell toxicity [destroy infectious agent]
  • Neutralization
  • Opsonization
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10
Q
  • Antigens involved are particulate
  • Clumping of reactants in serological test
A

Agglutination

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11
Q
  • Antigens involved are soluble antigens
  • Liquid form or formation of sediments in the
    mixture
A

Precipitation

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12
Q

OVERVIEW OF SEROLOGICAL TEST

A

Agglutination and Precipitation

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13
Q

DIFFERENT SEROLOGICAL TESTS

A

VDRL – VENEREAL DISEASE RESEARCH LABORATORY TESTING
ELISA – ENZYME LINKED IMMUNOSORBENT ASSAY
RAPID PLASMA REAGIN
FLUORESCENT IMMUNOASSAY

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14
Q

• Only use for screening for syphilis, uses heated
serum
• Principle; flocculation

A

VDRL – VENEREAL DISEASE RESEARCH
LABORATORY TEST

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15
Q

• Also known as Enzyme immunoassay
• Measures enzymatic reactions
• Uses enzymes as labels
o These are produced enzymes that are
manufactured reagents to create color
reaction
o They are more specific than regular
serological tests but more prone to
contamination.

A

ELISA – ENZYME LINKED IMMUNOSORBENT ASSA

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16
Q

ELISA – ENZYME LINKED IMMUNOSORBENT ASSA

Enzyme labels:

A
  • Highly stable
  • Extreme specificity
  • Cannot be altered inhibitors
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17
Q

• Only use for screening for syphilis, uses unheated
serum
• Principle: flocculation

A

RAPID PLASMA REAGIN

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18
Q

• Uses fluorescent compounds known as
fluorophores or fluorochrome as labels

A

FLUORESCENT IMMUNOASSAY

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19
Q

• Uses radioactive substances as label

A

RADIOIMMUNOASSAY

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20
Q

IMMUNITY

A

NATURAL IMMUNITY and ACQUIRED IMMUNITY

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21
Q

• The condition of being resistant to infection
• The recognition of foreign substances and
subsequent production of antibodies to these
substances

A

IMMUNITY

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22
Q

• Can be classified as either innate or acquired
- Innate or natural immunity
- Acquired or adaptive immunity

A

IMMUNITY

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23
Q

• Innate or non-adaptive or non-specific
• Ability of an individual to resist infections by means
of normally present body functions
- Without the aid of vaccination, medications,
etc.
- White blood cells, proteins that have natural
immunity, skin.
• Present at birth

A

NATURAL IMMUNITY

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24
Q

type of ACQUIRED IMMUNITY

A

Adaptive or specific

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25
a reaction resulting from invasion of foreign substances - Results from surviving an infection from a foreign substance
Adaptive or specific
26
types of Adaptive or specific
Active and passive
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types of active
Natural Active and Artificial Active
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(the source of that is an infection; being exposed then immune)
Natural Active
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(vaccine) - This is when the body is involved in producing antibodies
Artificial Active
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(mother’s breastmilk: maternal source)
Natural Passive
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(commercially prepared; medical-grade; blood donation) - The body is supplied with antibodies; the body is given an already-made antibody (from an outside source)
Artificial Passive
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• Refers to the collection, processing, typing and storage of whole blood and other blood products • Also known as Immunohematology
BLOOD BANKING
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• Study of immunologic principles applied in blood group specific antigen and antibodies • It also deals with mechanism of blood typing and crossmatching, detection and measurement of antibody titers, screening of donors for blood donation, bleeding techniques, proper labeling, storing and disposal of blood emphasis on quality assurance
BLOOD BANKING
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types of blood typing
Forward or Direct Typing and Reverse or Back Typing
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- Detection of antigens on patients RBC using known commercial anti-sera
Forward or Direct Typing
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- Detection of antibodies in serum of patient with known commercial RBCs suspension - To check if the blood type of the forward is correct
Reverse or Back Typing
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• Purpose: - Ensure the safety of the donor o If he is safe and capable to donate 450mL of blood o If he is ready to donate blood - Ensure the safety of the recipient o Ensuring that the donor is free from infection that can be transmitted to recipient
BLOOD DONOR SCREENING
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FOUR TYPES OF BLOOD DONATION
Allogenic Donation Apheresis Donation Autologous Donation Directed Donation
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SIX STEPS IN DONOR SCREENING AND COLLECTION
• Registration • Health or Medical history • Physical examination • Phlebotomy [like venipuncture; testing the blood for any blood-borne disease] • Post-donation care • Serological Testing of donor’s blood
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vital information must contain:
- Name - Address - Telephone number - Date and Time of collection - Gender and Birthdate - Age
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– average amount of blood to be transfused
450 mL
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average volume of blood in the body
5-6L
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the fluid loss can be replenish
4 days
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the iron loss can be replenish
56 days
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replace or produce or to take the lifespan of red blood cell
120 days
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You must verify the donor’s identity by asking for ___________
VALID ID
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5 types of PHYSICAL EXAMINATION in blood transfusions
Weight, Temperature, Blood Pressure, Pulse Rate, Hemoglobin and Hematocrit
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- Minimum weight requirement
50kgs/110lbs
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There should be __________to be donated
10.5 mL/kg
50
- Maximum amount of blood for blood bag is
525mL
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Anticoagulant present is
63mL
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Required temperature is
not >37° or 99.5°F
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Blood Pressure not <180mmHg
Systole
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blood pressure not <100mmHg
Diastole
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- Use the index finger or the middle finger or both - Count in 1 full minute
Pulse Rate
56
Pulse Rate Normal Value
50-100 or 60-100bpm
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is the oxygen carrying capacity of the blood;
Hemoglobin
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the volume of RBC
Hematocrit
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Standard Method:
cyanmethemoglobin
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Screening Test
Copper Sulfate Solution
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(t or f) - If the blood SINK within 15 seconds: >12.5g/dL (ACCEPT) - If the blood FLOAT within 15 seconds: <12.5g/dL (DEFER)
true
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COMPONENT PREPARATION AND THERAPY
Whole Blood Components Closed System Open System
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blood collected before separation into components
Whole Blood
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parts of whole blood that are separated
Components
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a sterile system of blood collection
Closed System
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when the collection is exposed to air, decreasing expiration date
Open System
67
- Fresh whole blood cells - Stored: 1-6°C - Transport: 1-10°C (place inside the ice box)
Whole Blood
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- Stored: 1-6°C - Transport: 1-10°C (place inside the ice box)
Red Blood Cells
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- Stored 20-24°C (room temperature with constant agitation) - Important to have this constant agitation so that the platelets will not clump
Platelets
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(plasma that is freshly separated from whole blood) - Stored: 1-6°C - Transfused within 24 hours
Fresh Frozen Plasma
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- Stores: -18°C for 1 year
Cryoprecipitate
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- Stored: -18°C
Plasma and Liquid Plasma
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• 2 methods: - Intermittent: 1 Vein - Continuous: 2 Veins • Anticoagulant: Heparin • Advantages: - Large volume of blood - Removal of unwanted substances
APHERESIS
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• Collection of platelets by apheresis while returning the RBCs, WBCs, and component plasma
PLATELET APHERESIS
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• Removal of PMNs, basophils, eosinophils for transfusion into patients whole PMNs are ineffective or where traditional therapy has failed
LEUKAPHERESIS
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• Collection of blood plasma by apheresis while returning the RBCs, WBCs, and platelet
PLASMAPHERESIS