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Unit 2 medsurg2- imm
dewitt chptrs 10,11
| Question | Answer |
|---|---|
| passive natural immunity | immunity passded from mother to baby last about 6 mos. may extend w/ breastfeeding |
| pyrexia | fever- innnate immune response |
| T cells are produced | Thymus |
| innate immunity | based on DNA and exists within a species/subspecies |
| complement system | series of protiens that increase cell wall permeability of pathogen |
| Bcells | have/are memory cells. they remember a bug and produce antibodies to fight it next time it is encountered |
| stemm cell differentiation | within first 8 divides |
| antibody | protien that fights a disease- aka an immunoglobin |
| antigen | pathogen/foriegn agent |
| age effects on immune and lymphatic systems | neonates- immature immune system thymus gland changes in adolescents decreased ciliary action in resp and Gi tract(geriatrics) skin loses effectiveness as barrier(too thin) |
| chrinic diseases that may decrease immune response | COPD, DM, HTN, REnal or liver disease, Cancer, ALCOHOL OR DRUG USE |
| corticosteroids | decrease immune response - used to treat autoimmune (esp.SLE exacerbations) |
| attenuated vaccines | only offer part of the virus, it mediates the same response as whole virus, but without causing disease |
| common autoimmune diseases | RA, SLE, psoriasis, sjogren's, |
| alcohol and immunity | long term alcohol use is the largest cause of immune malfunctions |
| humoral immuntiy | the antibidy production caused by initial antigen response (B cells response |
| specificity | antigen- antibody response are specific to particular pathogens |
| antitoxin | produced by antibody against pathogenic toxins |
| FFP | fresh frozen plasma- important because it contains large amounts of immunoglobulins |
| Tcells | responsible for secondary cellular response |
| passive artificial immunity | administration of antibody for a disease- short term |
| Iatrogenic | caused by treatement |
| why substance abusers are considered immunocompromised | chronic substance abuse suppresses heaptic function |
| 1st shots | HBV at birth, then first baby shots at 8 weeks |
| swelling | caused by vasodilation |
| assessment findings- infection | fever, tachycardia, malaise, swelling or pain in lymph nodes. redness pain is a secondary immune response |
| sepsis mortatlity rates | 40% normally healthy individual >90% for immunocompromised |
| CD4+ t cells | tell the viral load - if .200cells/mm3 then AIDS diagnosis |
| CAndidiasis | most common opportunistic infection |
| determination of shingles-objective S | rash follows a single dermatome (single nerve pathway) |
| anaphalaxis treatment | Epinephrine is first line of defense diphenhydramine is a secondary response |
| staging Cancer | depends on lymph node involvement- I- 1 node, II- 2nodes same side of diaphragm, III- 2 or more both sides, 4 same as II plus mets |
| RA treatment | corticosteroids for decreasing autoimmune response, NSAIDS for pain control |