RH Grouping: James Pretencio Kate Febrian Dabuet Rey Angelo Z. Hidalgo Victor Francis A. Salvana

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RH

GROUPING
JAMES PRETENCIO
KATE FEBRIAN DABUET
REY ANGELO Z. HIDALGO
VICTOR FRANCIS A. SALVANA
RH GROUPING
Routine Rh grouping for donor and patients involve detection of only the D antigen on
red cells. Blood samples are Rh (D) positive or Rh (D) negative depending on the
absence of the D antigen, respectively. However, red cell i as C, E, c, e belong to this
second most important blood group system: Rh system. Their detection is equally
important among individuals because if they are exposed to Rh antigens which they lack,
this results to antibody production and subsequent transfusion of blood having the Rh
antigens will bring about transfusion reaction. The five major Rh antigens in decreasing
immunogenicity are as follows: D,c,E, C,e (Harmening, 2005).
Materials Needed
 Glass slides
 Marking pen
 Lancet (with 3 mm blade)
 70% alcohol
 Gum label
 Applicator sticks
 Cotton
 Rh view box (surface temperature: 45-50°C)
Reagents/Sample
 Anti-D serum
 Anti-C serum
 Anti-c serum
 Unknown blood sample
 Anti-E serum
 Anti-e serum
 Rh/Hr Control (CTRL)
Procedure
1. Prepare 2 glass slides

2. Divide each slide into 3 portions by using a marking pen

3. Label the 3 portions of the first slide as D, C, and c. Label the 3 portions of the as E, e, and Ctrl.

4. Place the glass slides on Rh view box (surface temperature 45-50C) for 5 minutes

5. Remove the pre-warmed slides and deliver 1 drop of anti-D, anti-C, Anti-E, anti-e, and Rh/Hr control on the appropriately marked portion of the

glass slide.

6. Perform skin puncture by prick method and add 1 drop of whole blood to each portion

7. Mix well with separate applicator sticks.

8.
Observation
Draw and color your results. Label the slides completely then interpret me determine the
Rh group.
Name of patient____________________________

D C c

Reaction __________ ___________ _________


E e CTRL

Reaction __________ ___________ __________


Antigen/s Detected :
Rh blood group
Procedure
1. A
2. A
3. A
4. Mix gently. Cover each tube with nescofilm. Centrifuge all tubes
for 15 seconds
5. Gently dislodge the cell button and examine for agglutination
6. Grade each reaction and record the results
Lab Questions
1. Why is it necessary to pre-warm the slide prior to its use?
2. How is Rh typing serum prepared?
3. Give some causes of false positive and false negative reactions?

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