PATHOLOGY AND LABORATORY MEDICINE DIVISION OF TRANSFUSION MEDICINE STANDARD WORK INSTRUCTION MANUAL Preparation of Chloroquine Diphosphate Reagent Approved By: Dr. Antonio Giulivi Date Issued: 2004/04/05 Date Revised: 2009/12/31 1.0 Document No: RP.006 Category: Reagent Preparation Page 1 of 2 Principle Red cells with a positive DAT cannot be tested accurately with blood typing reagents that require an indirect antiglobulin technique. 9.1 Chloroquine diphosphate dissociates IgG from the red cell membrane with little or no damage to its integrity if used under controlled conditions. 2.0 Scope and Related Policies 2.1 Treating IgG coated red cells with chloroquine diphosphate permits complete phenotyping if anti-sera is reactive by indirect antiglobulin technique.9.1 2.2 Use of chloroquine diphosphate to dissociate autoantibody from red cells can aid in investigation of autoabsorption techniques. 3.0 Specimen – N/A 4.0 Material 5.0 Equipment: Weigh scale Glass beaker or flask Supplies: Weigh boats Glass reagent bottle Serological pipettes pH strips Reagents: Normal saline 1N NaOH Chloroquine Disphosphate salt Quality Control – N/A Ontario Regional Blood Coordinating Network Standard Work Instruction Manual RP.006 Page 1 of 2 Preparation of Chloroquine Diphosphate Reagent 6.0 Procedure 6.1 Dissolve 20 g of chloroquine diphosphate in 100 mL of normal saline. 6.2 Adjust pH to 5.1 with 1 N NaOH. 6.3 Label and store in glass reagent bottle at 2-6° C for 6 months. 7.0 Reporting – N/A 8.0 Procedural Notes – N/A 9.0 References 9.1 Roback JD, ed. American Association of Blood Banks Technical Manual, 16th ed. Bethesda, MD: American Association of Blood Banks, 2008: 894-895. Ontario Regional Blood Coordinating Network Standard Work Instruction Manual RP.006 Page 2 of 2