Human Blood Groups Lesson Teacher: Laura Bianco Grade: College level Concept: Human blood types Subject: Anatomy & Physiology Course Objectives (as stated in Course Syllabus): Explain the ABO blood groups Explain reactions to incompatible blood transfusions Technology Standards: Understand and use technology systems Use simulations to explore complex systems and issues Locate, organize, analyze, evaluate, synthesize, and ethically use information from a variety of sources and media Collect and analyze data to identify solutions and/or make informed decisions Materials: Computers for each student (20) Computer for the instructor Projector and screen Whiteboard or chalk board & dry erase marker or chalk Lesson Essential Question: What are the four major human blood groups and what defines them? Objectives: Learn the properties of each blood type, including which antigens and antibodies they contain Learn which blood types can safely be given during a blood transfusion Successfully utilize technology to enhance understanding of these topics Vocabulary: Antigen Antibody Erythrocyte (red blood cell) Plasma Agglutination Pre-Test: A 23 question assessment will be administered to the students at the beginning of the lesson. It will include multiple choice and fill-in-the-blank questions related to the blood types, antigens and antibodies in the blood, and blood transfusions. Activating strategy: I will introduce the topic of blood typing by describing antigens and antibodies and their interactions with each other. Next I will show a brief YouTube video that addresses several misconceptions about blood types, interesting facts, and the history of blood typing. It also includes an explanation of the major blood types using donuts as an analogy. Link to video: https://www.youtube.com/watch?v=L06TJTMVkBo Teaching: 1. I will begin the lesson by introducing the topic of blood typing, which will include a description of antigens and antibodies. 2. Students will complete the pre-test. 3. Students will watch the YouTube video to capture their attention about the subject, dispel common myths, provide background information, and describe the various blood types using a helpful analogy. 4. Following the video, I will review the material covered by the video and will answer any questions that students may have. 5. I will then present a lecture about the human blood types and blood transfusions, and will allow students to ask and answer questions throughout the lecture. The lecture, including questions and any discussions that may occur during this time, should take about thirty minutes. Below is a brief outline of the topics covered during the lecture: a. Human Blood Groups i. Blood is grouped based on presence of antigens (agglutinogens) on the surface of erythrocytes ii. ABO blood groups based on the presence or absence of two antigens: A and B 1. Blood type A: individual has A antigens 2. Blood type B: individual has B antigens 3. Blood type AB: individual has A and B antigens 4. Blood type O: individual has no antigens iii. Blood plasma usually contains antibodies (agglutinins) that will react and attack the A and B antigens if they are mixed 1. Anti-A antibody will react with the A antigen 2. Anti-B antibody will react with the B antigen 3. An individual will NOT have antibodies in their blood that will react with the antigens that they have, but they WILL have those that don’t b. Transfusion Reactions: Agglutination and Hemolysis i. A transfusion reaction occurs when mismatched blood is transfused and donor red blood cells are attacked by the recipient’s antibodies ii. The initial effect of this is agglutination of foreign red blood cells, which clogs the smaller blood vessels in the body iii. After a few hours, the clumped red blood cells begin to rupture and their hemoglobin is released into the blood (which can cause kidney damage) iv. Universal donor: Type O v. Universal recipient: Type AB Type A Type B Type AB Type O Antigens present A B AB none Antibodies present Anti-B Anti-A None Anti-A & Anti-B Receive from A or O B or O A, B, AB, O O Donate to A or AB B or AB AB A, B, AB, O 6. I will provide the students with a handout containing the chart above that they can fill in to identify which antigens and antibodies are present in each blood type, which blood types they can donate to, and which types they can receive blood from. They can complete this in small groups or individually. 7. Students will use the computers in the classroom to complete the Blood Typing Game on the Nobel Prize website. They will be given about thirty minutes to play this game. Link to the Blood Typing Game: http://www.nobelprize.org/educational/medicine/bloodtypinggame/ As students play this game, they can pause and go to the main menu to review the tutorials about blood type, determining a patients’ blood type, and blood transfusions. Students will also have the opportunity to discuss the game with each other, to ask questions about the topic, or for me to explain a component of the topic if students appear to be struggling with it. 8. After completion of the lesson, I will administer the post-test. Post-Test: A 23 question assessment will be administered to the students at the beginning of the lesson. It will include diagram labeling, multiple choice, and fill-in-the-blank questions related to the blood types, antigens and antibodies in the blood, and blood transfusions.