Blood Components and Blood Groups
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Questions and Answers

What can cause jaundice as a result of hemolysis during a blood transfusion?

  • Acidosis from citrate intoxication
  • Infection due to bacterial contamination
  • Release of free hemoglobin into plasma (correct)
  • Hypotension from histamine release

Which complication can occur due to mechanical overloading in patients with cardiac diseases after a blood transfusion?

  • Vasodilatation and hypotension
  • Citrate-induced hypocalcemia
  • Renal tubular damage
  • Sudden death (correct)

What is a major risk associated with delayed transfusion reactions?

  • Hypotension and shock
  • Transmission of infectious diseases (correct)
  • Hyperkalemia from old hemolysed cells
  • Hemolytic reactions

What can lead to excessive citrate infusion during massive blood transfusions?

<p>Massive transfusion protocols (C)</p> Signup and view all the answers

Which factor is crucial for ensuring longer shelf life and stability of blood for transfusion?

<p>Age of the blood (A)</p> Signup and view all the answers

Which blood groups were discovered by Karl Landsteiner?

<p>A, B, and O (D)</p> Signup and view all the answers

What is the main purpose of fresh frozen plasma during a transfusion?

<p>To support clotting factor levels (D)</p> Signup and view all the answers

What is the maximum storage duration for red blood cells?

<p>35 days (B)</p> Signup and view all the answers

Which complication arises from immune transfusion reactions?

<p>Acute hemolytic transfusion reaction (C)</p> Signup and view all the answers

What is needed before administering platelets from a donor?

<p>Blood group identification (A)</p> Signup and view all the answers

How are cryoprecipitate and fresh frozen plasma similar in terms of storage?

<p>Both have a shelf life of 1 year (C)</p> Signup and view all the answers

What volume increase in hemoglobin can be expected from 1 unit of packed red blood cells?

<p>1 g/dl (A)</p> Signup and view all the answers

What can occur as a result of agglutinated red blood cells during an acute transfusion reaction?

<p>Blockage of capillaries (D)</p> Signup and view all the answers

What happens when Rh-negative individuals are transfused with Rh-positive blood?

<p>They may develop anti-D antibodies. (C)</p> Signup and view all the answers

Which of the following best describes agglutinins?

<p>They are capable of joining multiple red blood cells together. (B)</p> Signup and view all the answers

What is the result of a RhD-negative mother having a RhD-positive fetus?

<p>The mother will produce anti-D antibodies. (D)</p> Signup and view all the answers

What condition is associated with Rh incompatibility that can occur during pregnancy?

<p>Erythroblastosis Fetalis. (C)</p> Signup and view all the answers

What is the primary function of red blood cells in the blood?

<p>Transport oxygen and carbon dioxide (A)</p> Signup and view all the answers

Which component of blood is primarily responsible for the hemostatic function?

<p>Platelets (C)</p> Signup and view all the answers

What is the purpose of giving anti-Rh antibodies to an Rh-negative mother?

<p>To prevent sensitization against Rh-positive blood. (B)</p> Signup and view all the answers

What are the implications of finding agglutinin D in the population?

<p>Rh-positive individuals usually have the D antigen. (D)</p> Signup and view all the answers

What is the average volume of blood in a male?

<p>5.5 liters (D)</p> Signup and view all the answers

Which of the following is NOT a consequence of Rh incompatibility?

<p>Immediate rejection of transfusion. (C)</p> Signup and view all the answers

Haemopoiesis, the formation of blood cells, primarily occurs in which part of the body?

<p>Bone marrow (B)</p> Signup and view all the answers

Which plasma protein is primarily responsible for maintaining oncotic pressure?

<p>Albumin (D)</p> Signup and view all the answers

What is the genotype for an individual with no D antigen?

<p>dd (C)</p> Signup and view all the answers

Which blood component is involved in immune defense?

<p>White blood cells (B)</p> Signup and view all the answers

What is the major significance of the ABO blood group system?

<p>It is critical for blood transfusions (B)</p> Signup and view all the answers

Which component of blood primarily transports metabolic waste to the kidneys?

<p>Plasma (D)</p> Signup and view all the answers

What is the life span of a red blood cell (RBC) in circulation?

<p>120 days (D)</p> Signup and view all the answers

Which component of hemoglobin allows it to bind to oxygen?

<p>Heme moiety (A)</p> Signup and view all the answers

What is the normal hemoglobin content in blood for men?

<p>16 g/dl (A)</p> Signup and view all the answers

Which of the following is NOT a function of hemoglobin?

<p>Storage of iron (D)</p> Signup and view all the answers

Which blood group contains both A and B agglutinogens?

<p>Group AB (A)</p> Signup and view all the answers

What type of antibodies are produced against red cell agglutinogens not expressed by an individual?

<p>IgM antibodies (C)</p> Signup and view all the answers

What happens to old red blood cells in the body?

<p>They are broken down in the spleen. (D)</p> Signup and view all the answers

What is the shape of red blood cells, and why is it significant?

<p>Disc-shaped for greater surface area (B)</p> Signup and view all the answers

Flashcards

Plasma

The fluid portion of blood, making up about 55% of blood volume. It's primarily composed of water, plasma proteins, and inorganic constituents like electrolytes.

Hematopoiesis

The process of blood cell formation, primarily happening in the bone marrow.

Neutrophil

A type of white blood cell primarily responsible for fighting infections by engulfing and destroying pathogens.

Erythrocyte

The red blood cell, containing hemoglobin, which carries oxygen from the lungs to the tissues.

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Hemoglobin

A protein in red blood cells responsible for binding and carrying oxygen.

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Clotting Factors

A group of proteins in the blood responsible for clotting and preventing excessive bleeding.

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ABO Blood Group

A blood group system based on the presence or absence of specific antigens (A, B, or both) on the surface of red blood cells.

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Hemolytic Disease of the Newborn

A condition in which maternal antibodies attack the fetus's red blood cells, causing anemia and potential complications.

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Hemolytic Transfusion Reaction

Hemolysis, a breakdown of red blood cells, releasing hemoglobin into the plasma, causing jaundice. This excess hemoglobin can also damage kidney tubules, potentially leading to renal failure and even death.

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Hypotension from Histamine Release

A serious complication of blood transfusion characterized by a rapid decrease in blood pressure caused by the release of histamine, a substance that causes blood vessels to dilate.

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Hyperkalemia During Transfusion

A transfusion reaction characterized by an excess of potassium in the blood, often due to the release of potassium from damaged red blood cells, leading to dangerous heart rhythm problems and potentially sudden death. Often seen in patients with severe anemia or blood loss.

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Bacterial Contamination of Blood Transfusions

Transfusion reaction that occurs when the blood is contaminated with bacteria, often cold-growing gram-negative bacteria, leading to fever and shock.

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Citrate Intoxication During Massive Transfusion

A dangerous condition caused by an excessive infusion of citrate, a substance used to prevent blood clotting during storage, leading to a decrease in calcium levels in the blood (hypocalcemia) and acidity (acidosis).

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What is the shape of a red blood cell and why is it important?

Red blood cells are non-nucleated, flattened, disc-shaped cells with a biconcave shape. This shape increases their surface area, maximizing oxygen and carbon dioxide exchange.

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What is the primary function of red blood cells?

Red blood cells contain hemoglobin, a protein that binds to oxygen, allowing for oxygen transport throughout the body.

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Where are red blood cells produced and what is their lifespan?

Red blood cells are produced in the bone marrow and have a lifespan of approximately 120 days. After this period, old RBCs are removed by the spleen.

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What is the ABO blood group system?

The ABO blood group system classifies individuals based on the presence or absence of specific antigens (A and B) on their red blood cells.

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What are agglutinogens?

Agglutinogens are antigens found on the surface of red blood cells. They are responsible for determining blood group compatibility.

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What are agglutinins?

Agglutinins are antibodies found in plasma that react with specific agglutinogens on red blood cells.

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What is hemolysis?

The process of hemolysis refers to the breakdown of red blood cells, releasing hemoglobin into the plasma. It can be caused by various factors, like diseases or incompatible blood transfusions.

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Describe the role of hemoglobin in blood.

The red pigment of the blood is called hemoglobin. It binds to oxygen giving a bright red color and appears bluish when deoxygenated.

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Blood Transfusion

The process of transferring blood or blood-based products from one person into the circulatory system of another.

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Transfusion Reaction

A severe reaction caused when the recipient's blood contains antibodies against the donor's red blood cells, leading to agglutination (clumping) and blockage of blood vessels.

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Acute Hemolytic Transfusion Reaction

A type of transfusion reaction that occurs quickly and involves the destruction of donor red blood cells by recipient antibodies. It can be life-threatening.

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Delayed Hemolytic Transfusion Reaction

A type of transfusion reaction that happens later and involves the production of antibodies against donor red blood cells, which can lead to hemolysis (destruction of red blood cells). This reaction usually occurs several days after transfusion.

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Incompatibility in Blood Transfusion

A serious condition that develops when an individual receives blood that is incompatible with their blood type.

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Apheresis

The process of separating different blood components, such as red blood cells, platelets, and plasma.

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Cryoprecipitate

A concentrated protein derived from plasma that is used to treat bleeding disorders, particularly those caused by a lack of clotting factors.

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Fresh Frozen Plasma (FFP)

A type of blood product that contains clotting factors, albumin, and other proteins. It is used to treat various clotting disorders and other conditions.

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Agglutination

Agglutinins are antibodies that bind to antigens on red blood cells. When multiple agglutinins bind to different red cells, the cells agglutinate, clumping together. This clumping can block small blood vessels, leading to destruction of the red blood cells by phagocytic cells and the reticuloendothelial system. The breakdown of red blood cells releases hemoglobin.

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Rhesus (Rh) System

The Rhesus (Rh) system is a blood group system where the presence or absence of the D antigen determines an individual's blood type. Rh-positive individuals possess the D antigen, while Rh-negative individuals lack it. Rh-negative individuals can produce anti-D antibodies when exposed to Rh-positive blood cells.

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Anti-D Antibodies

Anti-D antibodies are antibodies formed in Rh-negative individuals in response to the D antigen found on Rh-positive blood cells. These antibodies can cause serious complications in future transfusions and during pregnancy.

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Hemolytic Disease of the Newborn (HDN)

Hemolytic disease of the newborn (HDN) is a condition where the mother's anti-D antibodies cross the placenta and attack the red blood cells of the fetus. This can lead to severe anemia, jaundice, and even death. It occurs when an Rh-negative mother has an Rh-positive fetus.

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Exchange Transfusion

A transfusion of Rh-negative blood to replace the newborn's blood with Rh-negative blood, helping to alleviate the effects of HDN.

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Prevention of Hemolytic Disease of the Newborn

Giving anti-Rh antibodies to an Rh-negative mother after delivery to prevent sensitization. This helps to prevent the development of anti-D antibodies and reduces the risk of HDN in future pregnancies.

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Blood Transfusions in Rh-Negative Females

Rh-negative mothers who receive Rh-positive blood transfusions can develop anti-D antibodies. This emphasizes the importance of blood type matching and careful blood transfusions in females, especially those who could become pregnant in the future.

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Study Notes

Blood Components and Blood Groups

  • Blood is a red fluid circulated by the heart throughout the body
  • Average volume: 5 liters in women, 5.5 liters in men
  • Blood components comprise fluid (plasma) and cellular elements (red blood cells, white blood cells, platelets)

Objectives

  • Describe different blood cell types and their functions
  • Give an account of the ABO blood group system and its significance
  • Understand hemolytic disease of the newborn
  • Briefly understand transfusion reactions
  • Understand issues in managing massive blood loss

Blood Composition

  • Fluid part (Plasma): Largely made in the liver; includes clotting factors, albumin, and immunoglobulins
  • Cellular elements: Red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes); all formed in bone marrow

RBCs (Erythrocytes)

  • Shape: Non-nucleated, biconcave discs for increased surface area for gas exchange
  • Number: 5 million/mm³
  • Life span: 120 days
  • Content: Hemoglobin (60% water), inorganic and organic substances (enzymes), no nucleus, organelles, or ribosomes
  • Membrane: Semipermeable, containing agglutinogens determining blood groups; keeps hemoglobin inside to prevent loss in urine

Hemoglobin (Hb)

  • Red pigment (appears red when combined with O2, bluish when deoxygenated)
  • Structure: 4 polypeptide chains (globin portion) and 4 iron-containing protoporphyrin molecules (heme moiety). Each Hb molecule can carry 4 Oâ‚‚ molecules
  • Functions: Transports O2 and CO2, acts as a buffer in blood
  • Content: Normal hemoglobin content is 16g/dl in men and 14g/dl in women

Fate of RBCs

  • Old RBCs are taken up by the spleen
  • Hb molecule is broken down into heme and globin
  • Globin is broken down into amino acids (A.As)
  • Heme is broken down into iron (reused) and bile pigments (bilirubin, biliverdin)
  • Bile pigments are excreted

Blood Groups

  • ABO system: Discovered by Landsteiner in 1901; blood types A, B, AB, and O; agglutinogens (A and B glycoproteins) found on RBC membranes, also in many tissues including lungs, liver, and kidneys
  • Antibodies (Agglutinins): Naturally occurring anti-A and anti-B in plasma.
  • Rh system: Named for rhesus monkeys; "D" is the most important antigen, Rh-positive individuals have D antigen (85-90% of population); Rh-negative individuals lack D antigen.

Antigen-Antibody Reactions

  • Incompatible blood transfusions lead to agglutination (antigen-antibody reaction)
  • Agglutinated RBCs block capillaries, hemolyze, and release Hb
  • Free Hb causes renal damage and possible death via jaundice
  • Histamine release leads to hypotension

Hemolytic Disease of the Newborn (HDN)

  • Rh-incompatibility between mother and fetus: If an Rh-negative mother carries an Rh-positive fetus, her IgG anti-D antibodies can cross the placenta
  • Maternal antibodies attack fetal red blood cells, causing hemolysis of fetal RBCs
  • Severe cases can lead to hydrops fetalis (severe edema) and death

Prevention of HDN

  • Rh immunoglobulin (RhIg) prophylaxis: Administering RhIg within 72 hours of delivery of a Rh+ baby
  • Careful blood transfusions: Ensure compatibility

Blood Transfusion Indications

  • Hemorrhage
  • Severe anemia
  • Sickle cell disease
  • Clotting disorders
  • Erythroblastosis fetalis

Types of Blood Transfusion

  • Whole Blood: Contains red blood cells, platelets and plasma. Broken down for further transfusion
  • Red Blood Cells (RBCs): Increase Hemoglobin
  • Platelets: From single or multiple donors. For clotting disorders
  • Fresh Frozen Plasma (FFP): For clotting disorders
  • Cryoprecipitate: Consists of factors VIII and fibrinogen, also used for clotting-related bleeding

Transfusion Reactions

  • Immune: Acute and delayed hemolytic reactions, anaphylaxis, post-transfusion purpura, neonatal immune disorders (e.g., Rh disease)
  • Non-immune: Infective (bacteria, viruses, prions), iron overload

Dangers of Blood Transfusion

  • Immediate: Hemolytic reactions, mechanical overload, hyperkalemia, citrate intoxication, bacterial contamination
  • Delayed: Transmission of infectious diseases (e.g., HIV, hepatitis)

Special Considerations

  • Age of blood: Young blood lasts longer, less cation leakage; for multiply transfused conditions
  • Specific phenotype requests (Rh, Kell)
  • Irradiated blood: for patients with depressed T cell function
  • CMV negative blood for transplant recipients
  • Other considerations like washed blood, plasma-depleted blood

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Description

Test your knowledge on the various components of blood and their functions in the body. This quiz covers blood cell types, the ABO blood group system, and critical concepts such as hemolytic disease and transfusion reactions. Gain a deeper understanding of blood composition and its medical significance.

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