Immunohematology Overview and History
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Questions and Answers

What is immunohematology primarily concerned with?

  • The treatment of blood diseases
  • The history of blood transfusion
  • Diagnosis and management of blood-associated immunizations (correct)
  • The study of blood composition
  • The first recorded blood transfusion was performed on Pope Innocent VIII in 1492.

    True

    Who discovered the circulation of blood?

    William Harvey

    In the year _____, Richard Lower performed the first recorded successful blood transfusion.

    <p>1665</p> Signup and view all the answers

    Match the following individuals with their contributions to immunohematology.

    <p>William Harvey = Discovered circulation of blood Jean-Baptiste Denis = Performed transfusions from lambs to humans Richard Lower = Kept dogs alive with blood transfusion Jan Swammerdam = Observed red blood cells</p> Signup and view all the answers

    Which of the following is NOT an area intimately related to immunohematology?

    <p>Cosmetic surgery</p> Signup and view all the answers

    Research in immunohematology has only contributed to transfusion medicine.

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

    What significant event occurred in 1658 related to blood transfusion?

    <p>Observation of red blood cells by Jan Swammerdam</p> Signup and view all the answers

    Who performed the first successful transfusion of human blood to a patient?

    <p>James Blundell</p> Signup and view all the answers

    Philip Syng Physick published his findings on blood transfusion immediately after his procedure.

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

    In what year did James Blundell perform the first successful blood transfusion?

    <p>1818</p> Signup and view all the answers

    Blundell used blood from the patient's _____ as the donor for the transfusion.

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

    Match the following individuals with their contributions to blood transfusion:

    <p>Philip Syng Physick = Performed the first human blood transfusion James Blundell = Performed the first successful transfusion Samuel Armstrong Lane = Consultant for transfusion procedures Dr. Hilyer = Recorded significant transfusion events</p> Signup and view all the answers

    What was the primary reason for prohibiting animal blood transfusions to humans?

    <p>Reactions and complications</p> Signup and view all the answers

    James Blundell performed a total of ten transfusions during his practice.

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

    What did James Blundell propose to improve transfusion techniques?

    <p>Letting all the air out of the syringe</p> Signup and view all the answers

    Who was the first to perform a successful whole blood transfusion to treat hemophilia?

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

    Karl Landsteiner discovered blood group A in 1901.

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

    What method did Alexis Carrel devise to prevent clotting during blood transfusions?

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

    The first example of blood preservation research was recommended by _____ in 1869.

    <p>Braxton Hicks</p> Signup and view all the answers

    In what year did Ludvig Hektoen suggest cross-matching blood to improve transfusion safety?

    <p>1907</p> Signup and view all the answers

    The terms 'universal donor' and 'universal recipient' were coined by Roger Lee.

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

    What does 'cross-matching' refer to in blood transfusions?

    <p>Determining compatibility between donor and recipient blood</p> Signup and view all the answers

    Who introduced a citrate-glucose solution that allows for blood storage for several days?

    <p>Francis Rous and J.R. Turner</p> Signup and view all the answers

    Edward Lindeman was responsible for using sodium citrate as an anticoagulant.

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

    Who is credited with creating the first blood bank?

    <p>Oswald Robertson</p> Signup and view all the answers

    The first hospital blood bank in the United States was established by __________.

    <p>Bernard Fantus</p> Signup and view all the answers

    What method did Edwin Cohn develop to isolate blood components for clinical use?

    <p>Cold ethanol fractionation</p> Signup and view all the answers

    The MNSs and P antigen systems were discovered between 1927 and 1947.

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

    In what year did Albert Hustin report the use of sodium citrate as an anticoagulant?

    <p>1914</p> Signup and view all the answers

    Who was appointed as the director of the first American Red Cross Blood bank?

    <p>Charles Drew</p> Signup and view all the answers

    Isodor Ravdin used Cohn's albumin to treat victims of the Pearl Harbor attack.

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

    What formula was introduced for preservative use in blood in 1943?

    <p>Acid-Citrate Dextrose (ACD)</p> Signup and view all the answers

    In 1964, _________ was introduced as a means of collecting plasma for fractionation.

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

    Match the following years with their significant events in blood transfusion history:

    <p>1943 = Introduction of ACD formula 1950 = Use of glycerol as a cryoprotectant 1970 = Shift to all-volunteer blood donor system 1981 = First AIDS case reported</p> Signup and view all the answers

    What improved preservative solution was introduced in 1957?

    <p>Citrate-Phosphate-Dextrose (CPD)</p> Signup and view all the answers

    The FDA required blood bags to be labeled as either 'paid' or 'volunteer' in 1972.

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

    Which testing began in 1971 for donated blood?

    <p>Hepatitis B surface antigen (HBsAg) testing</p> Signup and view all the answers

    What significant advancement for blood storage occurred in 1983?

    <p>Additive solutions that extend shelf life of red blood cells to 42 days</p> Signup and view all the answers

    The first test to detect HIV was implemented in blood banks in 1985.

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

    What is one of the main functions of blood in the body?

    <p>Transport of oxygen</p> Signup and view all the answers

    The pH of blood in the body typically ranges from _____ to _____ .

    <p>7.35, 7.45</p> Signup and view all the answers

    Match the following years with their related advancements in blood banking:

    <p>1984 = Human Immunodeficiency Virus (HIV) identified as cause of AIDS 1992 = Testing of donor blood for HIV-1 and HIV-2 antibodies implemented 2002 = NAT for HIV and hepatitis C virus licensed 1994 = National Blood Services Act of 1994 passed</p> Signup and view all the answers

    How many liters of blood does a typical adult have?

    <p>4 to 6 liters</p> Signup and view all the answers

    Blood does not play a role in regulating the body temperature.

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

    Name one of the Philippine laws related to blood banking.

    <p>RA 7719</p> Signup and view all the answers

    Study Notes

    Immunohematology

    • Immunohematology is the study of antigens on blood cells, their genetics, biochemistry, and molecular components.
    • It's closely related to transfusion medicine, involving the properties and reactions of blood components.
    • Immunologists conduct serologic and molecular tests for diagnosis, prevention, and treatment of transfusion and pregnancy issues, and organ transplants.
    • Research in this field has advanced our understanding of human genetics, immunology, membrane physiology, function, anthropology, and forensic science.

    History of Immunohematology

    • 1492: First recorded blood transfusion attempt on Pope Innocent VIII, though unsuccessful and fatal.
    • 1628: William Harvey discovered blood circulation.
    • 1658: Jan Swammerdam described red blood cells.
    • 1665: Richard Lower carried out the first successful dog-to-dog blood transfusion.
    • 1667: Jean-Baptiste Denis and Richard Lower successfully transfused blood between animals and humans, which was later prohibited due to complications.
    • 1795: Philip Syng Physick performed a human blood transfusion (unpublished).
    • 1818: James Blundell performed the first successful human blood transfusion for postpartum hemorrhage, developing transfusion instruments.
    • 1840: Samuel Armstrong Lane, with consulting physician Dr. Blundell, performed the first successful whole-blood transfusion to treat hemophilia.
    • 1867: Joseph Lister started using antiseptics to control infections during transfusions.
    • 1869: Research on nontoxic anticoagulants began, with sodium phosphate being an early example.
    • 1901: Karl Landsteiner discovered the first three blood groups (A, B, and C; later changed to O).
    • 1907: Landsteiner's colleagues, Alfred Decastello and Adriano Sturli identified blood type AB.
    • 1908: Alexis Carrel developed a vein-to-vein blood transfusion technique. Further advancements included Carlos Moreschi's description of the antiglobulin reaction.
    • 1912: Roger Lee and Paul Dudley White developed the Lee-White clotting time protocol; group O safety for transfusion was confirmed.
    • 1913: Edward Lindeman used multiple syringes and a special cannula for vein-to-vein transfusions and Lester J. Unger designed a syringe-valve apparatus.
    • 1914: Albert Hustins used sodium citrate as an anticoagulant.
    • 1915: Richard Lewisohn determined the minimum amount of citrate needed for blood anticoagulation.
    • 1916: Francis Rous and J.R. Turner introduced citrate-glucose solution for longer blood storage.
    • 1927-1947: discovery of additional blood groups (MNSs, P).
    • 1937: Bernard Fantus established the first hospital blood bank in the US (Chicago).
    • 1939-1940: Karl Landsteiner, Alexander Wiener, Philip Levine, and R. E. Stetson discovered the Rh Blood group system.
    • 1940: Edwin Cohn developed cold ethanol fractionation for isolating blood components (Albumin, gamma globulin, fibrinogen).
    • 1941: Charles Drew established the first American Red Cross Blood Bank.
    • 1943: Loutit and Mollison of England developed the ACD (Acid-Citrate Dextrose) preservative formula; Beeson described transfusion-transmitted hepatitis.
    • 1945: Coombs, Mourant, and Race described ways to use antiglobulin testing to identify incomplete antibodies; ABO blood typing and syphilis testing added quality assurance steps.
    • 1947: ABO blood typing and syphilis testing was added to blood components.
    • 1950: Audrey Smith used glycerol as a cryoprotectant (for red blood cells); Walter and Murphy made plastic bags for blood collection.
    • 1953: Development of blood collection refrigerated centrifuges.
    • 1957: Gibson introduced CPD (citrate-phosphate-dextrose) preservative solution.
    • 1961: Platelet concentrates were recognized.
    • 1964: Plasmaphareses was used to collect plasma.
    • 1969: Murphy and Gardner refined platelet storage procedures.
    • 1970: Blood banks transitioned to become volunteer-based; use of blood storage banks.
    • 1971: Hepatitis B surface antigen (HBsAg) testing for donated blood began
    • 1972: Apheresis (selective component extraction) was implemented.
    • 1978: FDA mandated blood bag labeling (paid / volunteer).
    • 1981: First AIDS (Acquired Immune Deficiency Syndrome) case.
    • 1983: Additive solution enhanced red blood cell shelf-life.
    • 1984: Human Immunodeficiency Virus (HIV) identification and implementation of HIV testing were pivotal.
    • 1985: First HIV blood screening tests.
    • 1992: HIV-1 and HIV-2 antibody testing for blood donors was introduced.
    • 2002: Nucleic acid amplification tests (NAT) for HIV and Hepatitis C virus (HCV) are licensed.

    General Blood Functions, Red Blood Cells, and Preservation

    • Blood volume, pH, and components impact immunohematological procedures and transfusion therapies.
    • Blood functions include oxygen/carbon dioxide transport, nutrient/waste transfer, pH/temperature regulation, and disease protection (immunity).
    • Red blood cell preservation methods and procedures are critical for blood banks.

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    Description

    This quiz delves into the study of immunohematology, covering the antigens on blood cells, their genetic and biochemical aspects, and their relevance to transfusion medicine. It also explores pivotal historical milestones, such as early blood transfusion attempts and discoveries in blood circulation. Test your knowledge on this vital field of study!

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