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Blood Bank Exam 1 Lecture 6
Blood Bank Exam 1 Lecture 6 Study Material (IAT)
22
Biology
Undergraduate 3
01/21/2015

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Term
IAT detects
Definition
unexpected ABYs in the serum
Term
IAT Procedure
Definition
Serum incubated with known AGN RBCs
Allowed to sensitize
Excess serum washing away
AHG added to cause agglutination
Term
3 Uses for IAT
Definition
ABY Screen
Crossmatch
Phenotyping
Term
ABY Screening
Definition
Detects allo or auto ABYs in serum
Term
Crossmatch
Definition
Mix patient serum with donor RBCs
Term
Phenotyping
Definition
Testing of RBCs with known antisera to determine what ABYs are on the cells
Term
IAT All use ___ to bridge the gap between cells with attached IgG ABYs
Definition
AHG
Term
Most clinically significant ABYs are _____ because they react at 37 degrees celsius and can cross the placenta
Definition
IgG
Term
IgM ABYs typically react only at ____ temperatures
Definition
cold
Term
3 times when ABY screen is performed
Definition
Prior to transfusion on recipient
Donors
Prenatal
Term
True or False:
Don't need poly for prenatal because C' is not usually involved
Definition
True
Term
Usually use ___ ___ for ABY screen
Definition
IgG AHG
Term
Usually use polyspecific for ______
Definition
DAT
Term
Screening Cells
Definition
Group O cells with known AGN
Term
LISS
Definition
Reduces incubation time to 5-15 minutes
Term
True or False:
Albumin is not used as much since the advent of LISS
Definition
True
Term
IS
Definition
Detect cold IgMs
May see hemolysis from C'
Term
IS
Definition
Immediate Spin
Term
True or False:
If there is a reaction in either screening cells I or II or both then the patient has an ALLOANTIBODY which corresponds to one or more of the AGNs on the screening cells
Definition
True
Term
True or False:
If you run an Auto, which consists of patient's serum and their own cells, and it is positive as well as I and II, the patient has an AUTOANTIBODY
Definition
True
Term
3 False Positive Results in the AHG Technique
Definition
Dirty Glassware
Over centrifugation / Over Reading
Cold AutoABY agglutinating cells Before wash
Term
7 False Negative Results in the AHG Technique
Definition
-Inadequate or improper washing of cells
-AHG Reagent non-reactive due to deterioration or neutralization
-AHG reagent not added
-Serum not added in the IAT
-Cell suspension either too weak or too heavy
-Under centrifugation
-Failure to identify weak positive reactions
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