Cleave Away
Reagent Prep & Labeling
EGA vs CDP
MCT Cell Sep
Potpourri
100

Name something that ficin enhances that we wish it wouldn't. 

What is an autoantibody?  In particular, a cold autoantibody such as Auto-anti-I.

100

These documents provides information about the hazards, safe handling and emergency measures of a chemical or substance. 

What is a Material Safety Data Sheet (MSDS) or now more commonly called a Safety Data Sheet (SDS)? 

100

This is the maximum amount of time you can EGA treat without running the risk of over incubation and doing irreversible damage to the RBCs.

What is 2 minutes?

100

This is the minimum number of days from transfusion it should be before attempting a microhematocrit cell separation.

What is 3 days?

100

Name one system of antigens are destroyed by EGA that is also destroyed by DTT.

What is Kell?

200

All Kell and Lutheran System Antigens as well as CD38 are destroyed by this. 

What is 0.2 M DTT?

200

This form must be completed anytime a reagent will be prepared and stored for later use. 

What is 16.4.frm087?

200

This is the acid used in the EGA test to remove the anti-IgG from the patient cells.

What is Glycine Acid?

200
This is approximately how much you should cut off the top of the microhematocrit capillary tube to capture the patient reticulocytes.

What is 2-5 mm?

200

This can be used to treat cells prior to adsorption thereby enhancing the adsorption by freeing up antigen-antibody binding sites on the red blood cells. 

What is Ficin (or Papain)?

300

Ficin and Papain are examples of these types of enzymes that cleaves some of the glycoprotein chains off of red cell membranes. 

What are proteolytic enzymes?

300
A label with this name and symbol must be printed in color and must have the highest rating listed in each classification if more than one chemical is used in the reagent.

What is the NFPA (National Fire Protection Association) diamond symbol?

300

Treatment with this reagent/chemical for removal of anti-IgG has a maximum treatment time of 2 hours and the DAT is tested every 30 minutes. 

What is CDP or Chloroquine Diphosphate?

300

This is used to seal the microhematocrit capillary tubes prior to centrifuging in performing a cell separation.

What is Clay?

300

This is the final step of preparing a reagent and documenting all steps on 16.4.frm087.

What is obtaining a second person review?

400

Name at least 4 antigens that is removed/destroyed by Ficin or Papain.

What is Fya, Fyb, M and N?  (Also S and s can be destroyed but are variable).

400

This Reference procedure gives instructions need for Preparing, Labeling and Storing Reagents prepared in-house that will be used for later use.

What is 16.4.ref054?

400

This reagent which is part of the EGA kit should be kept at Room Temp to prevent crystallization.

What is EDTA?

400

This is how the microhematocrit cell separation works.

What is by density?

400

This enzyme can be used to remove CD38 but does not destroy the antigens of the Kell system. 

What is Trypsin?

500

Name a test that should always be tested when ficin treating cells for serological or antibody identification.

What is an autocontrol?

500

OSHA requires this type of label be applied when preparing reagents that are defined as hazardous.

What is a Hazcom label (or the NFPA label)?

500

Name a control that must be tested in parallel with antigen typing when using EGA or CDP treated cells.

What is a 6% albumin control?

500

This has to be occurring within the patient's body in order for the microhematocrit cell separation to work.

What is the patient has to be producing reticulocytes?

500

This gives a 3-4+ reaction at Immediate Spin which proves a cell has been treated with Ficin or Papain.

What is Glycine Soya?