ABO and Rh Blood grouping Objectives By the end of activity student must able to know - Naming of blood grouping Antigen and antibody present on RBCs cell membrane How to perform blood grouping? Donate and receive blood. Material Requirements -Antisera set, anti A (yellow color), anti B (blue color), anti AB (colorless), anti D (colorless). - Slides. - Gloves. - Wooden sticks. - Blood sample. Introduction; RBCs have antigen (Ag) in their membrane either A or B antigen. According to presence or absence of these antigens we have four main blood groups A, B, AB (both) and O (null). (ABO system) Each group can then be either Rh D positive or negative (Rh system), so blood group can be one of eight types Corresponding to antigen on RBCs they is an antibodies in the serum, e.g. A grouping have antibody B. Blood group named by two systems, ABO and Rh. Blood group is identified by the antigens and antibodies that are present in the blood. Blood group Ag/Ab and blood transfusion Blood grouping A Rh+ Antigen Antibody Donate to Receive from A and Rh(D) B A Rh- A A Rh +, A Rh – O Rh +, O Rh A Rh – O Rh - B Rh+ B and Rh (D) B (can develop Rh antibody) A A Rh + AB Rh+ A Rh +, A Rh – AB Rh +, AB Rh - B Rh- B B Rh + AB Rh + B Rh +, B Rh – AB Rh +, AB Rh - B Rh +, B Rh – O Rh +, O Rh B Rh – O Rh - O Rh+ Rh (D) O Rh + O Rh- O Rh- None AB Rh+ A, B and Rh (D) O Rh + A Rh+ B Rh + AB Rh+ AB Rh +, AB Rh – A Rh+, A Rh – B Rh +, B Rh – O Rh +, O Rh AB Rh+ AB Rh- A and B A (can develop Rh antibody) A and B A and B (can develop Rh antibody) None None (can develop Rh antibody) AB Rh +, AB Rh - O Rh - AB Rh +, AB Rh – A Rh+, A Rh – B Rh +, B Rh – O Rh +, O Rh A Rh – B Rh – AB Rh – O Rh - Procedures Collect blood sample (various blood grouping) On slide dispel four drops of blood. Add antisera A, B, AB and D to each drop. Mix, and incubate at room tempura (5 min). Look for agglutination and read the result as the following table Unagglutinated blood smear Agglutinated blood