T2 L8: Blood transfusion Flashcards

1
Q

Who discovered circulation?

A

William Harvey (1628)

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2
Q

Who was transfused the blood of 3 boys on their deathbed?

A

Pope innocent VIII (1492)

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3
Q

Who did dog to dog blood transfusions?

A

Richard Lower (1665)

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4
Q

Who recognised the blood of blood incompatibility and is now called the father of transfusion medicine?

A

Karl Landsteiner (1909). He identified agglutinins in the blood and used them to distinguish the main blood groups. Won a Nobel prize in 1930

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5
Q

When did HIV and Hep C testing begin with blood transfusion?

A

HIV in 1986, Hep C in 1991

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6
Q

What are agglutinins?

A

Naturally occurring IgM antibodies that can fix complement and cause red cell lysis

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7
Q

What does transfusion of ABO incompatible blood cause?

A

Intravascular lysis

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8
Q

What antigens and antibodies does blood group A have?

A

A antigens and anti-B antibodies

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9
Q

What antigens and antibodies does blood group B have?

A

B antigens and anti-A antibodies

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10
Q

What antigens and antibodies does blood group AB have?

A

A and B antigens and no antibodies

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11
Q

What antigens and antibodies does blood group O have?

A

No antigens and A and B antibodies

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12
Q

Describe the results for an agglutination reaction to show group A blood

A

Blood will react with Anti-A and Anti-AB but not anti-B

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13
Q

What is the difference between forward and reverse grouping with the agglutination reaction?

A

Reverse grouping involves mixing plasma with known blood cells. The two should be opposites

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14
Q

What is the most common blood type?

A

Type O (46%), followed by type A (42%), then type B (9%) and type AB (3%). A and B are dominant alleles

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15
Q

What blood type is a risk factor of COVID?

A

Type A

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16
Q

What does the lab look for when you send a blood sample and you need a transfusion?

A

Tests ABO, any atypical antibodies (those that shouldn’t be there) and the rhesus status

17
Q

How can atypical antibodies be given?

A

They arise due to sensitisation with foreign red blood cell antigens through pregnancy and previous blood transfusion