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Immune Drugs
Chapters 38-42
69
Pharmacology
Undergraduate 1
11/17/2012

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Term
What is innate immunity?
Definition
General protiective mecanisms (skin etc)
Natural acquired immunity
Term
What is adaptive immunity?
Definition
Develops during gestation or after birth

Immunity acquired through vaccinations. Cellular immunity and humoral immunity through mucus secretions.
Term
What is active immunity
Definition
Own immune system,
Respones to disease or vaccine.

Produced by a person's own immune system in response to an antigen. Vaccines and toxoids used
Term
What is passive immunity?
Definition
Antibodies formed by another person's immune system and then transferred to the host.

Ex: infant is normally protected for several months by maternal antibodies receivedthrough the placenta.
Short term, lasting only few weeks or months.
Term
What is the action of immune cells?
Definition
Are WBC's that are activated by the exposure to an antigen. Major component of host defense. Engulf pathogens, promote inflammation, and vasodialation.
Term
What would a high lymphocyte count indicate?
Definition
viral infection
Term
What would a high neutrophil count indicate?
Definition
bacterial infection
Term
Neutrophils
Definition
WBC's in the bloodstream
Body's main defense against pathogenic bacteria.

They arrive at the site of injury within 90min.
These go up right away when you have an infection.
Term
Basophils
Definition
WBC's that puts off histamine that causes inflammation
Term
Eosinophils
Definition
Increased in number and activity during;
allergic reactions and parasitic infections
Term
What do Eosinophils do during a parasitic infection?
Definition
They bind to and kill the parasite
Term
What do Eosinophils do during an allergic reaction?
Definition
They produce enzymes that inactivate histamine and leokotrienes and may produce other enzymes to destroy antigens.
Term
Monocytes
Definition
They are the largest WBC's.
Arrive several hours after injury and usually replace neutrophils as the predominate WBC within 48hrs.
Instrumental in phagocytosis
Lifespn is longer than neutrophils'
They can leave the blood vessels and enter tissue spaces and are then called tissue macrophages.
Term
Dendritic Cells
Definition
Recognize, capture, an ingest antigens.

are surface macrophages found in peripheral lymphoid and other tissues through which antigens enter the body. (skin, mucosa, bronchial airways). Their main function is presentation of antigen T lymphocytes which activate T cells and initiates the adaptive immune response.
Term
Lymphocytes
Definition
The main immune cells and those in tissue are equal with those in the blood.

There are three types, NK, T-Cells, and B-Cells.
Term
T-Cells
Definition
Cause anitbodies to be produced. Have protections on their cell membrane surfaces that act as receptors for antigens. They must be activated by antigens before they can fulfill their immune functions. Originate in stem cells in the bone marrow.
Term
B-Cells
Definition
Produce antibodies after initial stimulation of T-Cells
Term
What are the two agents for active immunity?
Definition
Vaccines and Toxoids
Term
What diseases are vaccines used for?
Definition
Influenzae, Hep A and B, HPV, Measles, Mumps, and rubella, Meningitis, Pneumococcal polyvalent, Poliomyelitis (IPV), Rabies, Retrovirus, Tuberculosis, Varicella Zoster
Term
What diseases are Toxoids given for?
Definition
DTaP (diptheria, tetanus, and pertussis), Polio, Hep B Immune globulin, Human(HBIG), (Ig;IGIM), globulin, Respiratory syncytial virus (RSV), Rh (D), VZIF
Term
Toxoids
Definition
Bacterial toxins or products modified to destroy toxicity but retain antigenic properties.
Not permanent or boosters are required.
EXP Tetnas and Pertusis
Term
What is the agent for passive immunity?
Definition
Serums from immune people
Term
What disease are serums used for?
Definition
Hep B surface antigen (HBsAg). Also: cytomegalovirus (CMV), hepa (ITP) Idiopathic thrombocytopenic, Rabies, RSV, ThoGAN, Tenanis, and veracella zoster.
Term
What disease are hyper immune serums used for?
Definition
Cytomegalovirus, Hep B, Rabies, Rubella, Tetanus, Varicella Zoster (shingles), and respiratory syntactical virus infections.
Term
What is a hematopoietic Agent?
Definition
Epoetin Alfa is an example...they are given to stimulate the production of RBC
Term
What is a colony stimulating factor?
Definition
drugs that stimulate bone marrow blood cell production
Term
What is interferon?
Definition
"interfere" with the ability of the viruses in infected cells to replicate and spread.

They attack viruses, activate natural killer cells by inhibiting replication of viral and other cells. Interferon activates natural killer cells and interferes with the ability of viruses to grow and spread. It does not have anti-inflammatory actions. They interfere with the affected cells ability to reproduce.
Term
What are the actions and adverse effects of Interferon beta 1B?
Definition
Used for MS...it prolongs remissions, and reduces the severity of relapses. Adverse effects are flu-like symptoms.
Term
Hematopoietic
Definition
Adequate blood cell production and development
Term
Impaired hematopoiesis leads to
Definition
high risk for infection, cancer
Term
What are the interferons and interleukins thought to do for cancer?
Definition
Enhance immune cell activity
Term
Effect of colony stimulating factor (CSF) on erythrocytes
Definition
Stimulate the production of RBC's platelets, granulocytes & macrophages.

And bone marrow blood cell production thus strengthening immune function
Term
Immunization
Definition
Involves administraion of an antigen to induce antibody formation.

Indicates Host protection from a disease
Term
What does the immune system do?
Definition
Detects and eliminates foreign substances that may cause tissue injury or disease.
Regulates tissue homeostasis and repair.
--Immune system cells identify and remove injured, damaged, dead, or malignant cells.
Term
IgG
Definition
is the Most abundant antibody that is protective against bacteria, viruses and toxins.

It crosses the placenta to provide passive immunity to the newborn.
Term
IgA
Definition
Main Ig in mucous membranes and body secretions.

Antibodies in tears
Term
IgM
Definition
Acts only in the bloodstream.

Protects against bacteria, toxins, and viruses that gain access to the bloodstream.
Term
Contraindications for administering a live vaccine?
Definition
severe immunosuppression, Allergies, Neoplastic disorders (cancer)
Term
Best source for up-to-date immunization guidelines
Definition
CDC website
Term
Timing for flu shots
Definition
by 4-6 years of age , and then annually
Term
Immunostimulants
Filgrastim (Neupogen)
Definition
Colony Stimulating Factor: Increases WBC and decrease risk on infection in patients with or at high risk of severe neutropenia. Used for treatment of chromotherapy-induced neutropenia.
Term
Immunostimulats
Epoetin alfa (Epogen)
Definition
Is a Hematopoitic Agent: Increases RBC production. Adverse effects: increased risks of hypertension, myocardial infarction, and stroke. Will also need to take iron. Treatment of chemotherapy-induced anemia. Stimulate the bone marrow to produce RBC.
Term
Cyclosporine (Neoral)
Definition
used to prevent rejection reactions and prolong graft survival after solid orga transplantation or to treat chronic rejection in patients previously treated with other immunosuppressive agents. action: Inhibits both cellular and humoral immunity but affects T-lymphocytes more than B-lymphocytes
Term
Cyclophosphamide (Cytoxan)
Definition
Used for Hodgkin's disease; non Hodgkin's lymphomas, leukemiasl; cancer of the breast, lung, ovary; multiple myeloma; neuroblastoma. Adverse effcts: Bone marrow depression, nausea, vomiting, alopecia, hemorrhagic cystitis, hypersensitivity reactions, secondary leukemia or bladder cancer.
Term
Methotrexate (MTX)
Definition
is a folate antagonist. Blocks folate and enzymes needed for cancer cell preproduction. Used to treat cancer. Must monitor CBC, Platelet counts, and renal and liver function. Adverse effects: Bone marrow depression, nausea, vomiting, mucositis. Cytotoxic drug. Must take Vitamin B12.
Term
Leukovoran (Wellcovoran)
Definition
Rescue after high-dose methotrexate for osteosarcoma. Also used for advanced colorectal cancer. Protects normal cells.
Term
Neutropenia
Definition
Low WBC
Term
Thrombocytopenia
Definition
Low Platelets
Term
Other uses for immunosuppressant drugs besides cancer therapy
Definition
Transplant rejection, Crohns disease, Rheumatoid arthritis.
Term
Adverse effects of immunosuppressant therapy
Definition
Interfere with production/function of immune cells, decrease undesirable immune response.
Term
Main use for interferon therapy
Definition
Chronic hepatitis C...prevents it from multiplying
Term
Rational for using multiple chemotherapeutic agents:
Definition
To hit the cell at different points with differing cellular action
Term
Adverse effect of anti-estrogen chemotherapeutic agents
Definition
Increased risk of blood clots or stroke, vaginal bleeding, an muscle cramps
Term
Tamoxifen (Nolvadex):
Definition
used in Breast cancer and propylyaxis. Action: Binds with estrogen receptors decreased estrogen stimulation for growth of maliganant cells. Adverse effects: Hot flashes, nausea, vomiting, risk for endometrial cancer.
Term
Acquired Immunity
Definition
developed during gestation or after birth
Term
Cytokines
Definition
control reproduction, growth, and differentiation of stem cells and CFU's limited to antigen activated lympocytes.
Term
____ and ____ blood cells originatein one marrow n stem cells often called pluripotet stem cells because they have the ability to become different types of cells
Definition
Hematopoietic, immune
Term
____ growth factors or ___ control the reproduction, growth and differentiation of stem cells and colony-forming units
Definition
Hematopoietic, cytokines
Term
Cytokies are involved in numerous physiologic responses;
Definition
Hematopoiesis, cellular proliferaton, differentiatin, inflammatio would healing and immunity.
Term
Interleukins (IL's)
Definition
Stimulate growth of stem cell precursors of all blood cells
Stimulates T & B lymphocytes
Term
Body's defense mechanisms

Intact Skin
Definition
Prevents foregn substance entry
Term
Body's defense mechanisms

Mucous membranes
Definition
Produces secretions that inhibit microbial growth.
Secretions containing enzymes that kill some bacteria.
Respiratory system traps foreign substace and expels(cough,sneeze)
Term
Body's defense mechanisms

What are the 5 body defense mechanisms?
Definition
Intact Skin
Mucous Membranes
Normal Flora
Cellulary injury prduces inflammation
Immune response.
Term
Body's defense mechanisms

Normal Flora prevents?
Definition
overgrowth of ?
Term
Body's defense mechanisms

Cellular injury produces inflammation and attempts to remove what three things?
Definition
damaging agent
repair tiss
WBC's
Term
Body's defense mechanisms

Immune response stimulates production of ____?
Definition
antibodies
Term
Cellular & Humoral Immunity

Cellular immunity
Definition
Involving T lymphocytes in body tissue
Term
Cellular & Humoral Immunity

Humoral immunity
Definition
Involving B lymphocytes and antibodies in blood
Term
Cellular & Humoral Immunity

Both types are closely____?
Definition
connected
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