A closer look at BLOOD Lab

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A closer look at BLOOD Lab Name Synthetic by Part 1 a drop of blood White Cell Plasma Platelet White Cell Background: All blood will contain Red Cells (RBC), White Cells (WBC), and Platelets. The number of each type of cells present in a sample of blood will determine the health of the patient. Red Cells (Erythrocytes) absorb and carry oxygen throughout the body, White Cells (Leukocytes) fight disease, and Platelets (Thrombocytes) clot the blood to stop bleeding. Erythrocytosis is a condition where the blood contains too many Red Cells. Erythrocytosis can cause easy bruisability, purpura (purplish areas of the skin where hemorrhage has occurred), blood in the stool, blood clots, painful erythema (redness of the skin) and warmth in parts of the limbs, blackening of the fingers or toes (necrosis), fever, heat tolerance, weight loss, and itching. Anemia is a condition where the blood contains too few red blood cells. If red blood cells are also deficient in hemoglobin, then your body isn't getting enough oxygen. The main symptom of anemia is constant fatigue (always tired). Normal and Abnormal Red Cell Count Normal MEN WOMEN CHILDREN 4.7-6.1 million cells per ul 4.2-5.4 million cells per ul 4.6-4.8 million per ul Anemia (Low Red Cell Count) Polycythemia (High Red Cell Count) <4.5 million cells per ul <4 million cells per ul <4.4 million cells per ul >6.8 million cells per ul >6 million cells per ul >5.4 million cells per ul Note: Red Cells are counted in millions of cells per microliter (ul) of blood.

Examining a Drop of : Physicians and medical lab technicians examine blood cells under the microscope every day. They are checking the blood for abnormalities. We will be examining a drop of synthetic blood to identify the various components of blood and to determine if there are a healthy number of red blood cells. It is now time to examine a drop of blood (synthetic) under a microscope. You will need: Microscope Glass Slide Cover slip 1 drop of Synthetic BLOOD Do This: Neo Synthetic Step 1: Place a single drop of simulated blood on a very clean microscope slide. Step 2: Place a cover slip on the drop of simulated blood and place the slide under the compound microscope. Step 3: Examine the simulated blood under low, medium, and then high power. Red Cells will appear red or pink, White Cells are stained blue, and Platelets will be seen as fragments. Step 4: Count the Red Cells and do the math as shown below: Count the number of red blood cells that you can see in your field of view when using high power (400X). Record your value below, grab a calculator, and do the math. Cells in field of view X 1,000 (dilution factor) 0.01uL (microliters) Record the Red Cell Count per ul of here Number of red blood cells per ul of blood If our sample is from an adult male, their red cell count indicates Normal Count Anemia Polycythemia

Part 2 Typing matching donors to recipients An injured man arrives at your Emergency Room by ambulance. He has been in an accident and has lost enough blood to require a transfusion. It s been a busy week and the blood bank is low so you will need a blood donor. But not everyone s blood is the same. If you give your patient the wrong TYPE of blood he might die. You will need to determine the BLOOD TYPE of your patient and find a donor with the same or compatible blood type. You will need: Typing Tray 3 stirring sticks 2 drops of Patient s blood 2 drops of each Donor s blood 1 drop of Anti-serum A 1 drop of Anti-serum B 1 drop of Anti-Rh Patient Donor 1 Donor 2 Donor 3 Donor 4 Anti- Serum A Anti- Serum B Anti- Rh First, let s determine the BLOOD TYPE of our patient: Step 1: Place 2 drops of the Patient s in each well of your blood typing tray. Step 2: Place 1 drop of anti-serum A in well A. Step 3: Place 1 drop of anti-serum B in well B. Step 4: Place 1 drop of anti-rh in well Rh. Step 5: Mix the blood and serum in each well using a separate stirring stick for each. Stir Well A and Well Rh for 10 seconds. Stir Well B for up to 90 seconds. Step 5: Examine each well to determine if the simulated blood has agglutinated (clumped). Note: that has not clumped will remain transparent (can see through it) while blood that has clumped becomes opaque (cannot see through it). After several minutes synthetic blood cells may settle to the bottom. This is not a positive test result. Step 6: Thoroughly rinse the typing tray and stirring sticks (they will be reused). Step 7: Record and interpret your results for the patient in table 1 (see next page).

How to determine blood type from your data: Agglutination = clumping. The blood clumps together and becomes opaque(cannot see through it) Rh Factor If the blood in well Rh clumps, this indicates the blood is Rh (+) positive. If the blood does not clump, the sample blood is Rh (-). Next, we need to determine the BLOOD TYPE of each of our potential donors: Step 1: Repeat steps 1-6 above for each or our potential blood donors. Step 2: Record and interpret your results for the each potential donor in table 1 above. Step 3: Go to the next page to answer the BIG QUESTION.

The BIG QUESTION: Which donor or donors that we tested would have a compatible blood type to donate blood to our donor? (The charts below should help) Write answerer here Let s Get Technical: What is Rh factor: In addition to A and B antigens, there is a third antigen called the Rh factor. is Rh positive (+) if the antigen is present or Rh negative (-) if the antigen is not present. In general, Rh (-) blood is given only to Rh (-) patients while Rh (+) blood or Rh (-) blood may be given to Rh (+) patients. Donor Rh (+) Rh (-) Recipient Rh (+) Rh (-)

Putting it all together (a.k.a. the questions ) - use all of the information and data in this lab to answer these questions: 1. Can a patient with type O (-) blood safely receives a transfusion from a type A (-) donor? Explain. 2. Which, if any, of our donors is considered a Universal Donor? 3. Which, if any, of our donors is considered a Universal Recipient? 4. Which antigens are present on the red blood cells in Type A blood? 5. How is simulated blood typing similar to actual human blood typing? How is it different?