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ADULT II first exam
adult II first exam
94
Health Care
Undergraduate 3
05/15/2012

Additional Health Care Flashcards

 


 

Cards

Term
T cells come from where and are used in which kind of immunity?
Definition
Thymus (from bone marrow but mature in thymus), cellular immune response- response to foreign invaders
Term
B lymphocytes come from where and are used in which kind of immunity?
Definition
bone marrow, humoral immunity
Term
natural killer cells are involved in which kind of immunity?
Definition
natural immunity
Term
60 -70% of lymphocytes in the blood are?
Definition
T cells
Term
about 10-20% of lymphocytes are?
Definition
B cells
Term
active and passive acquired immunity involve both
Definition
cellular and humoral immunity
Term
what cells are involved in the phagocytic immune response?
Definition
granulocytes and macrophages, anything involved in phagocytosis
Term
humoral response is the..
Definition
antibody response, involved with B lymphocytes
Term
cellular response involves the..
Definition
T lymphocytes
Term
structural part of the invading or attacking organism that is responsible for stimulating antibody production is called an..
Definition
antigen or immunogen
Term
which stage of immune response involves surveillance by lymph nodes and lymphocytes throughout the body, looking for antigens?
Definition
recognition
Term
which stage of immune response involves the circulating Lymphocyte to return to the lymph node with an antigen message, and stimulate some of the resident t and b lymphocytes to enlarge divide and proliferate?
Definition
proliferation
Term
which stage of immune response involves T lymphocytes to turn into cytotoxic T cells, and the reproduction of antibodies by the B lymphocyes in response to a specific antigen?
Definition
Response stage
Term
Which stage of immune response involves the T cells and B cells reaching and connecting with the antigen on the surface of the invader?
Definition
Effector stage
Term
T cells and B cells are both involved in carrying..
Definition
the antigen message back to the lymph nodes
Term
bacterial phagocytosis, anaphylaxis, allergic hay fever and asthma, immune complex disease, and some bacterial and viral infections....
Definition
humoral response (b cells)
Term
transplant rejection, delayed hypersensitivity, graft versus host disease, tumor surveillance and destruction, intracellular infections, viral, fungal and parasitic infections
Definition
cellular responses (t cells)
Term
antibodies are also called? and have how many subunits?
Definition
immunoglobulins, 2 - one light and one heavy peptide chain, held together by disulfide bonds
Term
agglutination happens when..
Definition
one antibody crosslinks two antigens and causes them to clump or bind together
Term
opsonization happens when..
Definition
an antibody coats an antigen in a sticky substance that helps in phagocytosis
Term
portion of the antigen involved in binding with the antigbody is referred to as..
Definition
antigenic determinant
Term
75% of total Ig, crosses the placenta, involved in bloodborne and tissue infections
Definition
IgG
Term
15% of total Ig, appears in body fluids, resp, Gi, and GU attacks
Definition
IGA
Term
10% of total Ig, intravascular serum, first responder in bacterial and viral infection
Definition
IgM
Term
.2% of total Ig, role is unclear
Definition
IgD
Term
.004% of Ig, allergic and hypersensitivity reaction, parastic infections
Definition
IgE
Term
activating the rest of the immune system, SECRETE CYTOKINES, which attract/activate B cells, Cytotoxic T cells, also produce lymphokines
Definition
helper t cells
Term
cause disintegration and cell lysis
Definition
Killer T cells
Term
decrease b cell activity..
Definition
suppressor t cell
Term
subpopulation of lymphocytes, destroy antigens coated with antibody
Definition
null lymphocytes
Term
circulating plasma proteins that are made in the liver, and activated when an antibody connects with its antigen..
Definition
complement
Term
secreted by t lymphocytes, b cells and macrogphages in response to antigens..
Definition
interferons
Term
three types of rheumatic diseases
Definition
SLE. RA and scleroderma
Term
inflammation is manifested in the joints as..
Definition
synovitis
Term
proliferation of newly formed synovial tissue infiltrated with inflammatory cells
Definition
pannus
Term
in degenerative rheumatic disease, inflammation is..
Definition
secondary, synovitis is usually milder
Term
in inflammatory rheumatic disease, degeneration occurs as a..
Definition
secondary process, resulting from pannus
Term
what chemicals contribute to the worsening of the inflammatory response of rheumatic diseases?
Definition
leukotrienes and prostglandins- they attract other WBCs.. also release collagenase- breaks down cartilage and erodes bone
Term
antibodies and antigens build up and combine to form immune complexes and are deposited in the..
Definition
synovial tissue, and other organs
Term
the process of degradation of articular cartilage is known to be..
Definition
metabolically active
Term
ESR in rheumatic disease patients..
Definition
is increased, more shit floating around in the blood
Term
photosensitivity is associated with
Definition
SLE
Term
eye dryness is associated with.
Definition
RA and SLE
Term
pleuritic pain is associated with
Definition
RA and SLE
Term
stiffness of a joint due to abnormal adhesion and rigidity of the bones of the joint
Definition
ankylosis
Term
alopecia is associated with..
Definition
rheumatic disease
Term
RBC count and C4 complement component in RA are..
Definition
decreased
Term
layers of walls in arteries and arterioles..
Definition
intima, media (smooth muscle, elastic tissue), and adventitia (connective tissue)
Term
osmotic pressure tends to pull..
Definition
fluid back into the capillary from the tissue space
Term
most important factor in resistance in the vascular system is..
Definition
vessel radius
Term
interstitial fluid is the fluid outside of the capillary wall that has the same composition as plasma, but without..
Definition
proteins
Term
osmotic pressure is the pulling force created by..
Definition
plasma proteins
Term
the excess fluid that is not reabsorbed by the venous end is reabsorbed by..
Definition
the lymphatic circulation .. imbalance results in edema
Term
all vessels are innervated by the SNS, except the...
Definition
precapillary and capillary sphincters
Term
stimulation of the SNS causes..
Definition
release of norepinephrine- vasoconstriction
Term
in low amounts, epinephrine is the opposite of norepinephrine and..
Definition
causes vasodilation in skeletal muscles, the heeart, and the brain
Term
ACE is..(three things)
Definition
angiotensin converting enzyme.. activates angiotensin II- which is a potent vasoconstrictor of the arterioles
Term
where does angiotensin I (precursor for II) come from?
Definition
formed from the interaction of renin (kidney) and angiotensinogen- a serum protein.
Term
pulses in arterial vs. venous insufficiency
Definition
diminished vs. present but may be difficult-edema
Term
goes from rubor to pallor when you lift foot, dry shiny skin, cool to touch, loss of hair over toes, nails thickened..
Definition
arterial insufficiency (skin sxs)
Term
pigmentation in gaiter area (medial/lateral malleoulus) skin thick and tough, reddish blue
Definition
venous insufficiency (skin sxs)
Term
ULCER- toe tips, pressure areas, painful, deep-involving joint space, circular, pale to black w/gangrene, edema minimal
Definition
arterial insufficiency ulcer
Term
ULCER- malleoulus, panful, superficial, irregular borders, granulated tissue- beefy red to yellow, edema is moderate
Definition
Venous insufficency ulcer
Term
muscle tissue deprived of oxygen produce..
Definition
muscle metabolites and lactic acid is produced= PAIN
Term
rubor suggests..
Definition
severe arterial peripheral damage in which vessels that cannot restrict, remain dilated
Term
.95 to .5 ABI
Definition
moderate/mild insufficiency
Term
"ath"
Definition
FAT fat ath fat ath!
Term
Level of extremeties: nursing care..
Definition
Arterial - lower, Venous- elevate!
Term
mobility: nursing care...
Definition
A- encourage walking, V-Discourage standing still or sitting for extended periods, WALK
Term
common nursing DX for PVD
Definition
ineffective tissue perfusion, chronic pain, risk for impaired skin integrity, deficient knowledge
Term
PAOD sxs
Definition
interm claud, sensation of coldness or numbness, regular AI findings
Term
what drugs are approved for symptomatic claudication
Definition
trental, pletal, pentoxyfilline, cilostazol
Term
pentoxyfilline/trenal does what
Definition
increases RBC flexibility, lowers blood fibrinogen, antiplatelet effects
Term
cilostazol/pletal
Definition
vasodilator that inhibits platelet aggregation
Term
upper extremity arterial occlusive disease
Definition
arm fatigue, cant grasph objects, subclavian steal syndrome- reverse flow into brain - vertigo, ataxia, bilateral vision changes
Term
another name for thromboangiitis obliterans..
Definition
buerger's disease
Term
buerger's disease is..
Definition
inflammation in small arteries and viens resulting in thrombus formation and segmental occlusion of the vessels
Term
aortoilliac disease sxs
Definition
groin/butt pain, impotence in men
Term
aneurysm forms a..
Definition
localized sac or dilation formed at a weak point in the wall of an artery.. saccular- one side dilated, fusiform- both sides bulge
Term
85% of aneurysms are caused by..
Definition
atherosclerosis
Term
arterial dissection/dissecting aorta
Definition
are separations of the arterial walls
Term
arterial emboli arise mostly from the..
Definition
chambers of the heart as a result of AFib, MI, endocarditis, or CHF
Term
virchow's triad..
Definition
stasis of blood, vessel wall injury, and altered blood coagulation
Term
DRUG and DOSE, antihypertensive, ace inhibitor
Definition
Altace 2.5 TD
Term
number one CV side effect of ALTACE
Definition
angioedema
Term
DRUG/DOSE- antiplatelet, decreases platelet aggregegation, possible anaphylaxis and laryngeal edema..
Definition
ASPIRIN 160 mg daily
Term
DRUG/DOSE- lipid lowering agent hma/coa reductase inhbitors (statin)
Definition
ROSUVASTATIN CALCIUM/ CRESTOR
Term
major side effect of Crestor
Definition
rhabdomyolisis (breakdown of muscle fibers, leads to myoglobin in the bloodstream)
Term
what cant you drink with crestor?
Definition
grapefruit juice
Term
trental vs. pletal
Definition
increases blood flow through reducing blood viscosity vs. inhibits platelet aggregation and vasodilation
Term
heparin inhibits..
Definition
factor XA
Term
labs for heparin
Definition
PTT and INR
Term
heparin antidote
Definition
protamine sulfate
Term
coumadin MOA
Definition
suppresses vitamin K dependent clotting factors- antidote is ViT K
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