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altered immune response
exam 1
50
Nursing
Undergraduate 3
12/06/2014

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Term
immunity
Definition
state of responsiveness to foreign substances
Term
functions of the immune response
Definition
defense, homeostasis, surveillance
Term
type of immunity: natural contact with antigen through clinical infection
Definition
active natural
Term
type of immunity: immunization with antigen (vaccine)
Definition
active artificial
Term
type of immunity: transplaental and colostrum transfer (immunoglobulin from mom to baby)
Definition
passive natural
Term
type of immunity: injection of serum from immune human
Definition
passive artificial
Term
where are lymphocytes made?
Definition
bone marrow, there are t & b
Term
what do b lymphocytes produce
Definition
antibodies
Term
what do T cytotoxic lymphocytes do?
Definition
attack antigens on foreign pathogens and release cytotoxic substances
Term
what do T helper cells do?
Definition
regulate cell mediated immunity and humoral antibody response
Term
What are NK cells?
Definition
cell mediated immunity do not require sensitization
Term
all living cells are antigenic!
Definition
wow...immune system recognizes as self or nonelf
Term
what are cytokines?
Definition
messengers between cells...instruct cells
Term
what is humoral immunity?
Definition
antibody mediated immunity
Term
first exposure to antigen, which antibody is first?
Definition
IgM
Term
which antibody is greatest(faster and lasts longer) at second and recurring exposure
Definition
IgG
Term
breast milk..what antibody given to bab
Definition
IgA
Term
What happens when pregnant women acquire new infections?
Definition
Baby cant get the infection bc only IgG is transferred to baby and IgM is the biggest antibody at first exposure.
Term
is bone marrow function affected by increasing age?
Definition
relatively unaffected
Term
what happens to the thymus d/t aging?
Definition
decrease in size and activity...mostly cause of immunosenescence (gradual deterioration of immune system)
Term
what is an IgE mediated reaction?
Definition
allergic reaction
IgE antibodies attach to mast cells which rlease histamine and inflammation....
vasodilation, itching, mucous, bronchial constriction, low BP
Term
examples of IgE reactions
Definition
mosquito bites, med allergies, pollen, dust, food....IgE reactions can lead to ANAPHYLAXIS AND SHOCK
Term
what is RAST?
Definition
radioallergosorbent test...tests for specific IgE antibodies to specific antigens
Term
what is increased on CBC that is indicative of allergies?
Definition
eosinophils
Term
what can happen while skin testing to ID allergen?>...
Definition
ANAPHYLAXIS
Term
immunotherapy for allergies
Definition
admin antigens in increasing strength until hyposensitive....igG antibodies are created and compete with IgE so mast cells are not stimulated
Term
anaphylaxis
Definition
occurs in minutes and can be deadly...airway obstruction, edema, hypotension, collape, death....
Term
Cytotoxic Reactions
Definition
IgG or IgM binds to antigens on cells surface...cell is destroyed
Term
ex of cytotoxic reactions
Definition
Hemolytic Transfusion Reaction
Hemolytic Anemias
IMMUNE THROMBOCTYOPENIC PURPURA ITP
Term
what kind of immune reaction is immune thrombocytopenic purpura?
Definition
cytotoxic
Term
immune complex reactions
Definition
antigen/antibody are so small they get deposited into tissue/blood vessels tissues get destroyed
Term
example of immune complex reactions
Definition
lupus, RA, acute glomerulonephritis
Term
delayed hypersensitivity reactions
Definition
cell mediated immune response that damgages tissues instead of protecting them... T cells attack or release cytokines
Term
examples of delayed hypersensitivity reactions
Definition
poison ivy, organ/tissue rejection, TB skin test
Term
Primary immunodeficiency disorders
Definition
immune cells dysfunctional or absent
Term
secondary immunodeficiency disorders
Definition
caused by illness or treatments
ex. transplant pt on meds
CA pt with chemo
anti-inflammatory meds
AIDS
Term
Human Leukocyte Antigen System (HLA)
Definition
responsible for rejection of unlike tissues
present on all cells
USED IN MATCHING ORGAN/TISSUE
Term
associations between HLA ypes and diseases
Definition
Term
what is included in hsitocompatability studies???
Definition
ABO blood group
HLA antigens
antibodies in recipient
crossmatch
Term
hyperacute rejection
Definition
minutes to hours
IRREVERSIBLE
antibodies already formed that attack new organ...ex previous pregnancy, transfusions
Term
acute rejection
Definition
4 days to 4 months
reversible
cytotoxic t cells attack new organ
treat with immuno suppresive meds (monoclonal antibodies)
Term
chronic rejection
Definition
months to years
IRREVERSIBLE, retransplant
organs are infiltrated with T and B cells and scar new organ
Term
List examples of immunosuppressive meds
Definition
corticosteroids
cyclosporine
imuran
monoclonal antibodies
polyclonal antibodies
Term
what do corticosteroids do?
Definition
suppress inflammatory response
Term
what does cyclosporine do?
Definition
prevents cell mediated attack on tissues
Term
what doe imuran do?
Definition
inhibits t and b cell proliferation
Term
what do monoconal antibodies do?
Definition
destroy cytotoxic t cells
Term
what dopolyclonal antibodies do?
Definition
deplete t cells
Term
what is graft vs host disease?
Definition
graft(transplanted organ) rejects host or recipient tissue
NO REAL TREATMENT, USE immuno drugs to prevent
onset 7-30 days
Term
symptoms of GVH
Definition
maculopapular rash mild jaundice
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