Blood Type Overview
Blood Types Overview
Topic: Total blood types
Total number of blood types: 8
These include: A, B, AB, O
Each blood type can be classified as either positive (+) or negative (-)
Four basic blood types:
A
B
AB
O
Resulting combinations give:
A+, A-
B+, B-
AB+, AB-
O+, O-
Understanding Blood Types
To really understand blood transfusions, one must grasp basic concepts:
Antigens
Definition: Type of protein that helps recognize cells
Functions:
Distinguishes cells (e.g., skin cells vs. heart cells)
Antibodies
Definition: Another type of protein linked to the immune system
Key property: Highly specific; can only attach to certain antigens
Function: Acts as a marker for immune cells to destroy target cells
Blood Type Antigens and Antibodies
Blood types can be simplified to A, B, AB, and O differentiating by antigens present:
Blood type A
Antigens present: A
Antibodies present: Anti-B
Blood type B
Antigens present: B
Antibodies present: Anti-A
Blood type AB
Antigens present: A and B
Antibodies present: None
Blood type O
Antigens present: None
Antibodies present: Anti-A and Anti-B
Positive and Negative Blood Types
Understanding Rh factor:
D antigen determines whether blood is Rh positive or negative
If a person is positive, they have the D antigen; if negative, they do not
Combinations based on Rh factor:
A+
Antigens: A, D
A-
Antigens: A
B+
Antigens: B, D
B-
Antigens: B
AB+
Antigens: AB, D
AB-
Antigens: AB
O+
Antigens: D
O-
Antigens: None
Antibody Characteristics
Anti-D antibodies:
Not produced if a person is Rh positive
Only developed if Rh negative individuals are exposed to the D antigen (sensitization) which can occur through blood transfusion or pregnancy
Process of sensitization:
Implies prior exposure leading to future antibody production
Blood Transfusions
Overview of blood transfusion process:
Donor side (blood giver)
Recipient side (blood receiver)
Example: A person with blood type A donating to another person with type A. This is a successful transfusion because:
No A antibodies are present in the recipient to attack the donated blood.
Complications arise when mismatched blood types are involved:
Example: A blood type recipient receiving B type blood will have a negative reaction due to the presence of Anti-A antibodies which attack the A antigens in the received blood
Universal Donors and Recipients
Universal Donor: O negative
Reason: No antigens present to be attacked by antibodies in any recipient
Universal Recipient: AB positive
Reason: Can accept any blood type without an immune reaction
Pregnancy and Blood Types
Complications can occur when a sensitized mother (especially Rh-) has a baby with Rh+:
If the first baby is Rh+ and the mother becomes sensitized, subsequent Rh+ pregnancies could be dangerous due to mother's Anti-D antibodies attacking the fetus's cells leading to potential miscarriage
Preventive measure: Administration of Rho(D) immune globulin to Rh- mothers to prevent sensitization
Blood Typing Lab Test
Method to categorize blood types:
Use of serums that mimic antibodies (anti-A, anti-B, anti-D)
Procedure involves placing blood sample in sections and adding serum to check for reactions
Positive reaction: coagulation indicating the presence of corresponding antigen
No reaction: indicates absence of antigen
Results help determine blood type based on what coagulates or does not coagulate with added serums