Erythrocytes and Blood Typing

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Questions and Answers

What are erythrocytes?

Erythrocytes are pliable cells responsible for the transport and release of oxygen and carbon dioxide in the blood.

Erythrocytes lack a nucleus.

True (A)

What is the average lifespan of a red blood cell in circulation?

125 days

How many red blood cells are produced per second by the adult bone marrow?

<p>2.5 million</p> Signup and view all the answers

What are the three main functions of erythrocytes?

<p>Transport of oxygen and carbon dioxide (A), Participation in blood clotting (B), Regulation of blood pH (D)</p> Signup and view all the answers

All human blood contains erythrocytes, leukocytes, and thrombocytes.

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

What is formed when red blood cells clump together?

<p>Agglutination</p> Signup and view all the answers

What are antigens?

<p>Chemical substances that, when introduced into an animal, stimulate the immune system to produce antibodies that react with the antigen to destroy its harmful influence.</p> Signup and view all the answers

Antigens are also called agglutinogens.

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

Antibodies are also called agglutinins.

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

The presence or absence of erythrocyte antigens is determined genetically.

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

The vast majority of erythrocyte antigens are weak.

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

What are the three main blood group antigens?

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

The corresponding antibodies, normally absent if the antigen is present, are designated as ______.

<p>agglutinins</p> Signup and view all the answers

What are the two blood groups that are commonly examined in blood typing?

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

Which of the following statements is true about blood group A?

<p>Blood group A has anti-B antibody in the plasma and antigen A on the red blood cell surface. (C)</p> Signup and view all the answers

Transfusing blood group B into a recipient with blood group B will result in no reaction.

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

Transfusing blood group A into a recipient with blood group B will not cause a reaction.

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

Transfusing blood group B into a recipient with blood group O will cause a reaction.

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

What is the name of the clinical condition that occurs when incompatible blood types are mixed resulting in agglutination?

<p>Transfusion reaction</p> Signup and view all the answers

What are some common symptoms of a transfusion reaction?

<p>Shock, anxiety, difficulty in breathing, flushing in the face, pain in the chest, and neck.</p> Signup and view all the answers

Transfusion reactions are only caused by incompatibility in the ABO blood group.

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

What is another name for the Rh blood group?

<p>D blood group</p> Signup and view all the answers

The Rh blood group was discovered in 1940.

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

How is the Rh blood group determined?

<p>Genetically</p> Signup and view all the answers

The presence or absence of the D antigen determines whether an individual is Rh positive or negative.

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

Rh-negative individuals have the D antigen on their red blood cells.

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

Rh-negative individuals have anti-D antibodies in their plasma.

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

Rh-positive individuals never develop anti-D antibodies.

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

It is safe to transfuse Rh-positive blood into an Rh-negative recipient.

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

It is safe to transfuse Rh-negative blood into an Rh-positive recipient.

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

Rh-positive individuals can safely receive Rh-negative blood.

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

Rh-negative individuals can safely receive Rh-positive blood.

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

The Rh blood group is clinically significant.

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

Anti-D antibodies are typically found in the plasma of Rh-positive individuals.

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

Rh-negative mothers who have been exposed to Rh-positive blood during pregnancy have a higher risk of developing anti-D antibodies.

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

Anti-D antibodies can cross the placenta and affect the fetus.

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

Anti-D antibodies do not pose a risk to the fetus unless the fetus is Rh-positive.

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

A first Rh-negative pregnancy does not increase the risk of developing anti-D antibodies in the mother.

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

A second Rh-negative pregnancy increases the risk of developing anti-D antibodies in the mother.

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

A second Rh-negative pregnancy after an Rh-positive pregnancy carries a higher risk of developing anti-D antibodies in the mother.

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

Anti-D antibodies can only be developed during pregnancy.

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

Anti-D antibodies are not harmful during a first pregnancy.

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

Anti-D antibodies are harmful during a second pregnancy.

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

There is no way to prevent the development of anti-D antibodies in Rh-negative mothers.

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

Rh immunoglobulin or RhoGAM is effective at preventing the development of anti-D antibodies in Rh-negative mothers.

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

RhoGAM can be given to Rh-negative mothers before, during, or after pregnancy.

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

RhoGAM is a cure for hemolytic disease of the newborn (HDN).

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

RhoGAM is only effective if given during pregnancy.

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

RhoGAM is a safe and effective treatment for pregnant Rh-negative women.

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

Hemolytic disease of the newborn (HDN) is a serious condition.

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

HDN is caused by the mother's immune system attacking the fetus's red blood cells.

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

HDN is only a risk for mothers who are Rh-negative and have been exposed to Rh-positive blood.

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

HDN can be prevented.

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

HDN is a common condition.

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

HDN is a treatable condition.

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

HDN can be fatal.

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

HDN is often preventable.

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

Flashcards

Erythrocyte Pliability

Erythrocytes (red blood cells) are flexible and can bend and twist as they move through blood vessels.

Erythrocyte Lifespan

Red blood cells lack a nucleus, which limits their lifespan to an average of 125 days in circulation.

Red Blood Cell Production

The bone marrow constantly produces new red blood cells at a rate of 2.5 million per second, replacing those that are destroyed.

Red Blood Cell Function: Gas Transport

Red blood cells play a crucial role in transporting oxygen from the lungs to the body's tissues and carrying carbon dioxide back to the lungs.

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Red Blood Cell Function: Buffering

Red blood cells contribute to the blood's buffering system, helping to maintain a stable pH balance.

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Red Blood Cell Function: Coagulation

Red blood cells contribute to blood coagulation, but this is a minor function compared to their role in gas transport.

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Blood Type Determination

Blood types are determined by the presence or absence of specific antigens on the surface of red blood cells.

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Blood Type Incompatibility: Agglutination

Agglutination is the clumping of red blood cells, which can happen when incompatible blood types are mixed.

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Antigens and the Immune System

Antigens are substances that trigger the immune system to produce antibodies, which neutralize or destroy the antigens.

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Antibodies: Immune Defenders

Antibodies are proteins produced by the immune system to bind and inactivate specific antigens.

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Alternative Names: Agglutinogens and Agglutinins

Antigens are also known as agglutinogens, and antibodies are also known as agglutinins.

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Blood Type Inheritance

Blood types are inherited and determined by the presence or absence of specific antigens.

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Antigen Diversity

There are more than 300 types of erythrocyte antigens, but only a few are strongly antigenic and cause rejection in transfusions.

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Major Blood Groups: ABO and Rh

The ABO blood group is based on the presence or absence of antigens A, B, and D (Rh) on the surface of red blood cells.

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Blood Type A

Type A blood has antigen A and anti-B antibody in the plasma.

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Blood Type B

Type B blood has antigen B and anti-A antibody in the plasma.

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Blood Type AB

Type AB blood has both antigens A and B, but no antibodies in the plasma.

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Blood Type O

Type O blood has neither antigen A nor B, but both anti-A and anti-B antibodies in the plasma.

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Universal Donor: Type O

Type O blood can be transfused to anyone, making it the universal donor.

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Universal Recipient: Type AB

Type AB blood can receive blood from any blood group because it has no antibodies.

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Rh Blood Group: Discovery

The Rh blood group was identified in 1940 after its discovery in the monkey.

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Rh Antigen: Weakness

The Rh antigen is usually weak and has little impact on the blood system.

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Rh+ Blood Type

Rh+ individuals have the D antigen on their red blood cells.

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Rh- Blood Type

Rh- individuals lack the D antigen on their red blood cells.

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Rh- individuals: Anti-D Antibodies

Rh- individuals do not have anti-D antibodies in their plasma.

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Rh- individuals & Rh+ Transfusion

If an Rh- individual receives Rh+ blood, they will develop anti-D antibodies.

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Rh- Individuals & Rh+ Transfusion: Subsequent Reactions

Subsequent transfusions of Rh+ blood to an Rh- individual with anti-D antibodies will result in a dangerous reaction.

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Transfusion Reactions Overview

Transfusion reactions occur when the recipient's blood recognizes the donor's blood as foreign and attacks it.

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Transfusion Reaction Symptoms

Transfusion reactions can cause various symptoms, including shock, difficulty breathing, and pain in the chest and neck.

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Rh+ to Rh-: Agglutination

A wide-spread agglutination occurs when Rh+ blood is transfused with Rh- blood, as the recipient's anti-D antibodies attack the donor's cells.

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Study Notes

Erythrocytes

  • Erythrocytes are flexible cells that bend and twist as they pass through blood vessels.
  • They lack a nucleus and survive an average of 125 days in circulation.
  • The average adult has approximately 5 million erythrocytes per microliter of blood.
  • Bone marrow produces about 2.5 million new red blood cells per second to replace those that are destroyed.

Functions of Erythrocytes

  • Transport oxygen and carbon dioxide.
  • Participate in maintaining blood pH (buffer system).
  • Play a minor role in blood clotting.

Blood Antigens

  • Antigens are chemical substances that trigger an immune response when introduced into an organism.
  • When a foreign antigen enters, the immune system creates antibodies that react with the antigen and neutralize it.
  • Antigens on red blood cells determine blood type (e.g., A, B, O, Rh).

Blood Typing and Transfusions

  • ABO blood types are determined by the presence of A and/or B antigens on red blood cells and corresponding antibodies in the plasma.
  • If incompatible blood types are mixed, the recipient's antibodies will cause the donor's red blood cells to agglutinate (clump together).
  • Agglutination can block blood vessels and cause serious problems.
  • Rh blood type is determined by the presence of the Rh antigen on red blood cells.
  • If an Rh-negative person receives Rh-positive blood, their body will produce antibodies against the Rh antigen.

Transfusion Reactions

  • Incompatible blood transfusions cause serious reactions, ranging from mild discomfort to potentially life-threatening complications.
  • The severity of reactions depends on the amount of incompatible blood transfused.
  • Symptoms may include fever, chills, difficulty breathing, and pain in the chest or neck. In severe cases, organ damage could occur.

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