1.4 Blood Types & RH Factor

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Blood Types

& Rh Factor
Med Surg: Hematology

Blood Types
Memory trick

A B The main blood types are A, B, AB, O. O AB


The most tested key point for donating & DOnor Receiver ABs
AB
receiving blood: O AB

• O - can be given to everyone.


AB O • AB - receives blood from everyone.
A+ B- B+ O- AB- AB+ O+ A- A+ B- B+ O- AB- AB+ O+ A-

Donor Recipient

A A HESI

Universal DOnor O
Q1: A nurse is caring for a patient with type AB blood
B B who requires a blood transfusion. However, the blood
bank sends up type A blood. Which action should the
nurse take first?
AB AB
AB
Infuse blood according to agency protocol
Q2: A patient with anemia states... “I'm a universal Universal receiver
donor" … patient has which blood type?
O O O type

* Don’t focus on memorizing this chart,


it’s NOT highly tested on the NCLEX.

RH Factor (ANTIBODIES)
Rh Factors are the positive & negative antibodies on the blood’s surface.
+ AB+ A+ B+ O+

-
An indirect coomb’s test is done to see if the blood is positive or negative
& make sure blood can be given or received. AB- A- B- O-

SAUNDER’S Rh factor

A client is donating blood … The nurse tells the client


that an indirect Coombs' test will be performed on RhoGAM
the blood. The client asks the nurse about the
purpose of the test. Which response should the
COOMB TEST

nurse provide to the client?


“The test detects circulating antibodies against
red blood cells (RBCs).”

Rhogam is given to Rh negative pregnant mothers to protect the baby from a 2ND

deadly complication called Hemolytic Disease of the Newborn (HDN). RhoGA


M

This happens when the mother is Rh - and the baby is Rh +. The Mom’s negative
antibodies can attack the babies positive Rh & cause this deadly hemolysis or
hemolytic anemia, so this is why we give RhoGAM to shield & protect the baby
from this deadly reaction.

HDN - Hemolytic Disease of the Newborn

1 ST
2 ND

Rh+

Rh+

Rh+ Antibodies
Rh+ Antibodies

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