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NURS 319: Disorders
Chapter 11: Immune System Disorders
| Question | Answer |
|---|---|
| immunocompetence | having the ability to produce a normal immune response |
| immunosuppression | suppression of the body's immune system and its ability to fight infections and other diseases |
| opportunistic infection | infections that occur more often or are more severe in people with weakened immune systems than in people with healthy immune systems |
| hypersensitivity | extreme physical sensitivity to particular substances or conditions |
| autoimmunity | body's immune system mistakes its own healthy tissues as foreign and attacks them |
| what is an antigen? | "non-self" substances, target of immune response |
| describe innate immunity | provides immediate and non-specific binding (defense) |
| role of macrophages | arise from WBCs, fight against pathogen by migrating to tissues, releasing cytokines, presenting antigens |
| role of cytokines | small protein, act like messenger cells, regulate/ coordinate immune system and hematopoiesis |
| role of NK cells | granular lymphocytes, destroy tumor cells, and virus-infected cells |
| describe adaptive immunity | acquired specific immunity |
| what are major histocompatibility complexes (MHC)? | class I: antigen presents to cytotoxic T cells class II: binds to nonself cell to present (cytotoxic T cell kills both) |
| what are the main cells in adaptive immunity? | B and T cells T: cell-mediated immunity B: antibody-mediated immunity |
| What is the role of the helper T cells and cytotoxic T cells? | helper T cells: send signals that direct other immune cells to fight infection cytotoxic T cells: destroy infected cells |
| what are antigen presenting cells (APCs) and their purpose? | macrophages and dendritic cells present antigen to activate t cells |
| Describe cell-mediated immunity process | more aggressive, attacks abnormal cells does not involve antibodies activation of phagocytes, cytotoxic T-lymphocytes release of cytokines |
| describe the antibody-mediated immunity process | help from helper T cells b cells to plasma B cells plasma B cells produce antibodies against specific antigen |
| what are immunoglobulins and what are their function | produced by B cells, bind to specific antigens |
| IgD | hypersensitivity reactions 1% of immunoglobulins |
| IgM | first antibody in primary response |
| IgG | most prominent immunoglobulin; memory cell response |
| IgA | found in secretions; doesn't last forever |
| IgE | very low concentrations in the blood; elevates during allergic reactions |
| what is the difference between active acquired and passive acquired immunity | active: illness or vaccination exposure; provides immunity, immune system activated, memory cells produced passive: receiving preformed antibodies, short term immediate immunity |
| what is the purpose of vaccines | provide exposure of disease so body will build antibodies and memory cells to weakened version; when exposed next, immune system can fight it off |
| what are examples of vaccines | COVID-19 vaccine flu vaccine |
| what is a booster and a toxoid | booster: an extra dose of immunizing agent to maintain/ restore effects of previously established immunity toxoid: altered form of toxins whose toxicity is weakened (immunogenicity maintained) |
| what are different ways to check antigens and antibodies in a patient | blood test (vein or finger prick) |
| the antibody measured in both allergy testing and serology testing is | IgE |
| difference between overreaction and underreaction of the immune system | overreaction: hypersensitivity (autoimmune disorders) underreaction: immunodeficiency (side effect of chemotherapy) |
| type 1: immediate hypersensitivity | allergy symptoms, local or systemic |
| type 2: cytotoxic hypersensitivity | blood transfusion reaction |
| type 3: immune complex hypersensitivity | systemic (lupus) localized (rheumatoid arthritis) |
| type 4: delayed hypersensitivity | poison ivy transplant rejection |
| immune reactions where the body attacks its own cells | autoimmune disorders |
| autoimmune disorders are when | T cells and immunoglobulin cannot distinguish between self and nonself |
| Molecular mimicry | the body develops antibodies against its own tissues |
| What is the process of systemic lupus erythematosus (SLE)? What type of hypersensitivity reaction is SLE? | chronic disease where antibody complexes deposit in tissues type 3 immune complex hypersensitivity |
| common symptoms of SLE | skin rash, joint inflammation, kidney damage, fever, vasculitis, Raynaud's phenomenon |