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Immunity

Transfusion compatibility and its consequences

  • 3 things to know
  • Unit A2 1

Overview

Two consequences for a patient of an incompatible transfusion and how a blood group is determined in the laboratory.

What you need to know

Answer each one before you reveal it.

Your recallNot started
Key term

What must be compared in order to decide whether a transfusion is safe?

Key term

Why are the antibodies in donated blood not usually a problem for the recipient?

Key term

Which ABO group can receive red cells from a donor of any ABO group, and why?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What must be compared in order to decide whether a transfusion is safe?

    Model answer

    The antigens on the donor's red cells must be compared with the antibodies in the recipient's plasma.

  2. 2

    Why are the antibodies in donated blood not usually a problem for the recipient?

    Model answer

    The donated plasma is heavily diluted in the recipient's circulation, so those antibodies have a negligible effect on the recipient's red blood cells.

  3. 3

    Which ABO group can donate red cells to a recipient of any ABO group, and why?

    Model answer

    Group O can donate to any ABO group because its red cells carry neither antigen A nor antigen B for the recipient's antibodies to bind to.

  4. 4

    Which ABO group can receive red cells from a donor of any ABO group, and why?

    Model answer

    Group AB can receive from any ABO group because its plasma contains neither anti-A nor anti-B antibodies.

  5. 5

    Why must blood of group B not be given to a recipient of group A?

    Model answer

    The recipient's anti-B antibodies would bind to antigen B on the donated cells and agglutinate them.

  6. 6

    Why can a recipient of group AB safely be given blood of group A?

    Model answer

    The recipient has no anti-A antibodies, so nothing in their plasma reacts with the antigen A on the donated cells.

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