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Immunity
Nursing concept
162
Nursing
Not Applicable
05/31/2024

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Term
the function of the immune system
Definition
protect the body from foreign antigens, identify and destroy potentially harmful cells and to remove cellular debris
Term
the body's natural or induced response to infection and its associated conditions
Definition
immunity
Term
patients who are _ have immune systems that identify antigens and effectively destroy or remove them
Definition
immunocompetent
Term
When the immune system functions ineffectively, the result may be an _
Definition
overreaction or immunodeficiency
Term
overrecation of the immune system to an antigen or antigens is termed
Definition
hypersensitivity
Term
the immun system loses the ability to recognize its own tissues and begins to attack them
Definition
autoimmune disorders
Term
an immunodeficiency can develop when the immune system is _
Definition
incompetent or unable to respond effectively
Term
an immune system deficit that is induced by infection with HIV and is characterized by opportunistic infections
Definition
acquired immunodeficiency syndrome
Term
External agents that activate the immune system include
Definition
microorganissm, minor injuries such as small lacerations or bruis and major injuries such as burns, surgeries, and systemic diseases
Term
The response of the immune system may be
Definition
nonspecific, or specific
Term
Prevent or limit the entry of invaders into the body, therby limiting the etent of tissue damage and reducing the workload fo the immune system
Definition
non specific responses
Term
_ is an example of a non-specific response
Definition
inflammation
Term
when the inflammatory process in unable to destroy invading organsims the body's _ immune response is activated
Definition
mor specific
Term
Two types of immunity:
Definition
active and passive
Term
can occur through exposure to a disease ro through vaccinatino
Definition
active immunity
Term
involves introducing a weakened or killed from of the disease into the body
Definition
Vaccination
Term
Occurs when inidviduals receive antibodies from another person rather than by producing them through their own immune system
Definition
passive immunity
Term
passive immuninity only lasts for a few
Definition
weeks or months
Term
the primary cells involved in bonth nospecific and specific immune system responses
Definition
Leukocytes (WBCs)
Term
Like all blood cells, leukocytes derive from _ in the _
Definition
stem cells; bone marrow
Term
The normal number of circulating leukocytes
Definition
4500 to 10,000
Term
a WBC count greater than 10,000 mm3
Definition
leukocytosis
Term
a decrease in the number of circulating leukocyts
Definition
leukopenia
Term
occurs when bone marrow activity is suppressed or when leukocty destruction increases
Definition
leukopenia
Term
leukocytes are divded into three major gropus
Definition
granulocytes, monocytes and lymphocytes
Term
dervie from the myeloid stemcells of the bone marraow and are instrumental in the inflammatory response
Definition
granuloctyes and monocytes
Term
ddecrive from the lymphoind stem cells of the bone marrow
Definition
lymphocytes
Term
the primary cells involved in the specific immune response
Definition
lymphocytes
Term
play key role in protecting the body from harmful microorganisms during acute inflammation and infection
Definition
granulocytes
Term
three types of granulocytes
Definition
neutrophils, eosinophils and basophils
Term
the most plentifuls of the granulocytes
Definition
neutrophils
Term
phagoctyic cells, responsibel for engulfing and destroying foreign agents, particularly bacteria nd small particle s
Definition
neutrophils
Term
drawn by chemicals released by damaged tissue and invading organisms, _ are the first phagoctyic cells to arrive at the site of invasion
Definition
neutrophils
Term
cesionphils have a circulating half-life of _ and a tissue half-life of _ days
Definition
3o minutes; 12
Term
Esinophils are found in large numbers in the _ where they are thought to be responsible for protecting the body from parasistic worms including _
Definition
respiratory and GI tracts; tapeworms, flukes, pinwomrs, hookworms
Term
Granules within the basophils contain _ protiens and chemicals such as _, these substances are released during an acute hypersensitivity reaction or stress response
Definition
heparin, histamine, bradykinin, serotonin, and a slow reacting substance of anaphylaxis
Term
the largest of the leukocytes
Definition
monocytes
Term
monocytes activate the immune respons against chronic incfections such as
Definition
tuberculosis, viral infections, certian intracellular parasistic infections
Term
after settling into the tissues, monocyttes mature into
Definition
macrophages
Term
tissue macrophages found in loose connective tissue
Definition
histiocytes
Term
kupffer cells are macrophages found in the
Definition
liver
Term
alveolar macrophatges are found in the
Definition
lungs
Term
microglia are found in the
Definition
brain
Term
tissue macrophages also can be found in the
Definition
spleen, tonsils, lymph nodes and bone marrow
Term
star shaped cells that originate in both the myeloid and the lymphoind cell lines
Definition
dendritic cells
Term
Dendritic cells serve as sentinels for antigens in most organs including the:
Definition
heart, liver, kidney and GI tract
Term
specialized DCs in the skin
Definition
Langerhans cells
Term
Diseases such as _ develop when the normal function of the DCs is suppressed and they become too tolerant
Definition
lupus erythematosus, rheumatoid arthritis, multiple sclerosis
Term
lymphocytes moniort the body for coancerous cells and attempt to destroy them
Definition
immune surveillance
Term
cells responsivle for providing acquired immunity
Definition
memory cells
Term
resistnace to an antigen resulting from previous exposure to that antigen
Definition
memory cells
Term
three types of lymphocyts are
Definition
T, B and natrual killer cells
Term
mature in the thymus gland and are integral to the specific immun e respons
Definition
T lymphocytes
Term
activated and mature into either plasma cells, whench secret antibodies or memory cells
Definition
B lymphocytes
Term
large granular cells that are activated by cytokines and released by T cells
Definition
natural killer cells
Term
NK cells are cytotoxic as well but unlike T cells, they do no require connection with an APC to becme activated and kill
Definition
cancer cells, virus infected cells, or cells infected with microbes
Term
provoke a specific immune response when introduced into the body
Definition
antigens
Term
many antigens are proteins found on the cell membrane or cell wall of
Definition
microoroganisms or tissues, incompativle blood cells, vaccines, pllen, egg whites, anima ldander and insect or snake venom
Term
The portion of an antigen that incites a specific immune response is called its
Definition
antigenic determinant site
Term
are typically large moelcules with multiple antigenic determinant sites
Definition
complete antigens (immunogens)
Term
Complete antigens have two characteristics
Definition
immunogenicity, specific reactivity
Term
the ability to stimulate a specific immune resopnse
Definition
immunogenicity
Term
the ability to stimulate specific immune system components
Definition
specific reactivity
Term
the B cell or humoral branch of the immune system mainly eliminates extracellular antigens such as _ through the production of antibodies
Definition
bacteria, bacterial toxins, free viruses
Term
Upon first exposure to an antigen, the B lymphocyte system begins producing antibodies that react specifically to that antigen, this process is know as the
Definition
primarry immune response
Term
primary immune response occurs within
Definition
3 days
Term
five classes of antibodies called immunoglobulins
Definition
IgM, IgG, IgD, IgE
Term
The five immunoglobulins together make up the
Definition
antibody-mediated himmune response
Term
_ is produced 48 to 72 hours after an antigen enters the body a
Definition
IgM
Term
_ is responsible for primary immunity
Definition
IgM
Term
IgM produces antibody activity againts
Definition
rheumatoid factors, gram-negative organisms and the ABO blood group
Term
Because it does not pass the placenta, the serum value of IgM is _ in newborns
Definition
low
Term
IgM level increases in babies after _ of age
Definition
9 months
Term
the major immunoglobulin
Definition
IgG
Term
reults from secondary exposure to the foreign antigen
Definition
IgG
Term
responsible for antiviral and antibacterial activity
Definition
IgG
Term
IgG pass through the _ and provides early immunity for the newborn
Definition
placental barrier
Term
IgA is found in the secretions of the
Definition
respiratory, GI and genitoruinary tracts, tears and saliva
Term
the purpose of IgA is to:
Definition
protect mucous membraings from invading organisms
Term
those having congenital IgA deficiency are prone to
Definition
autoimmune disease
Term
IgD is a unique immunoglobulin that can be found in th:
Definition
circulation, nasopharyngeal, oral and lachrymal secretions as well as on the surface fo myeloid innate effectercells
Term
increases during allergic reactions and anaphylaxis
Definition
IgE
Term
_ is important in defense against parasitic disease
Definition
IgE
Term
the primary agents of the cell-mediated immune response
Definition
t-cells
Term
Intracellular pathogens such as _ activated T lymphoctyes
Definition
virus-infected cells, cancer cells, foreign tissue
Term
cell mediated immunity acts at the cellular level by attacking antigens directly bay activating:
Definition
b cells
Term
T lymphocytes are devided into
Definition
effector cells and reuglatory cells
Term
the primary effector cell
Definition
killer t cell
Term
Regulartory t cells ae devided into two subsets know as
Definition
helper t cells and suppressor t cells
Term
_ initiate the immune response whereas _ limit it
Definition
helper t cells; supressor t cells
Term
accomplish their role by promotign growth of addition t cells, by stimulating proliferation of b cells and by activating killer t cells
Definition
helper t cells
Term
believed to be important in preventing autoimmune disorders
Definition
suppressor t cells
Term
proper immune system funciton depends on the correct balance between
Definition
helper and suppressor t cells
Term
Lymphoid system consists of the
Definition
lymph nodes, spleen, thymus, tonsils, bone marrow and lymphoid tissue scattered in connective tissues and mucosa
Term
_ are considered central lymphoid organs
Definition
thymus and bone marrow
Term
_ and other lympoid tissue are considered peripheral lymphoid orgas
Definition
spleen, lymph nodes, tonsils
Term
lympoid system exists to recover protiens for the _ and protect the bloodstream from invading organisms
Definition
vascular system
Term
small, round or bean shaped bodies that are encapsulated and vary in size from 1mm to 2 cm
Definition
lymph nodes
Term
lymph nodes can be found in the
Definition
neck, axillae,a bdomen and gorin
Term
Lymph nodes have two specific functions
Definition
filter foreign prudcts from lymph, house and support proliferation of lymphoctes and macrophages
Term
largest lymphoid organ in the body
Definition
spleen
Term
the only lympoid organ that can filter blood
Definition
spleen
Term
the spleen is located in the _ of the abdomen
Definition
upper left quadrant
Term
the spleed has two kinds of tissue
Definition
white pulp and red pulp
Term
lymphoid tissue that serves as a site for lyphocyte proliferation and imune surveillance
Definition
white pulp
Term
blood filtration occurs in the _ of the spleen where phagoctytic cells dispose of damaged or aged RBCs and platelets in blood filled venous sinuses
Definition
Red pulp
Term
Red pulp also removes other debris and foreign matter such as
Definition
bacteria, viruses and toxins
Term
If the spleen is removed the _ may assum its function
Definition
liver and bone marrow
Term
during fetal life and childhood, the thymus serves as a site for the amturation and differentiation fo
Definition
thymic lymphoid cells, T cells
Term
bone marrow is found in the hollow cavity of the long bones , particularly the _ as well as in the flat bones fo the _
Definition
femur and humerus; pelvis, ribs and sternum
Term
Lymphoid tissues are located at key sites of potential invasion by microoorganisms:
Definition
the skin and submusosa of the genitorinary, respiratory and Gi TRACTS
Term
IgA coats mucosal cells and prevents attachemtn of intraluminal bacteria in the
Definition
intestine, upper respiratory tract, bronchi, mammary ducts salivary glands
Term
protect the body from inhaled or ingested foreign agents
Definition
tonsils and adenoids
Term
Inflammation brings _ into the interstitial tissues where the invasion or damage occured
Definition
fluid, dissolved substances and blood cells
Term
examples of hyperresponsive immune function
Definition
allergies, autoimmune disorders, reactions to organ tissu transplants
Term
characterized by rapid development of symptoms after exposure to an antigen
Definition
IgE-mediated hypersensitivity (Type 1)
Term
Type I reactions usually occur within _ minutes after antigen exposure and may involve the _
Definition
15 to 30 mins; skin, nasopharynx, bronchopulmonary tissues, GI tract
Term
the most seveer form of an immediate hpyersensity reaction
Definition
anaphylaxis
Term
this response includes the rupture of cells targeted by the immune response that may affect a variety of organs and tissues
Definition
Cytotoxic hypersensitivity (Type II)
Term
Examples of Type II hypersensitivity reaction
Definition
transfusion reaction, Rh incompatibility, hashimoto thyroiditis and good pasture sydrome
Term
includes inflammatory response in th targeted tissues that leads to tissue damage
Definition
immune complex mediated hypersensistivity (type III)
Term
Autoimmune disorders such as _ areincluded in Type III reaction
Definition
SLE and RA
Term
involves a major histocompatibility complex and is characterized by tissue damage at the site of antigen contact within 24 to 48 hours after exposure
Definition
Delayed hypersensitivity (Type IV)
Term
Examples of type IV hypersensitivity reaction
Definition
tuberculin reaction, allergic contact dermatitis
Term
Other known triggers of autoimmune diseases include
Definition
viruses, bacteria, hormones, pollutants and stress
Term
occurs minutes or hours after transplantation
Definition
hyperacute rejection
Term
hyperacute rejection is characterized by
Definition
organ swelling, clot formation, hemmorhage
Term
symptoms acute rejection
Definition
decrease in urine output, swelling, pain and blood and protein in the urine n
Term
occurs months to years after transplantation
Definition
chronic rejections
Term
Immune deficiencies lead to dysfunction in ether the _
Definition
primary or secondary
Term
Primary immune deficiencies are congenital and may affect
Definition
T cells, b cells or both
Term
lead to decreased immune functin and increased susceptibility to infection and malignancies
Definition
secondary immune deficiencies
Term
attacks and depletes helper t cellls, causing immune dysfunction
Definition
HIV
Term
WHen lymphocyte levels fall below _ HIV has progressed to AIDS
Definition
200
Term
ways to reduce risk of infection
Definition
porper nutrition and fluids intake, good personal hygiene, adequate sleep, vaccines, and reduction of stress
Term
a reaction of the local circulatory system to an insult, injury or antigen
Definition
inflammation
Term
inflammation may lead to
Definition
abscess, scar formation, persistent inflammation
Term
diseases for which vavvines are routinely recommended include
Definition
measles, mupms, rubella, polio, pertussis, diphtheria, tetanus, haemophilius influenzae type b, hepatitis A and B, pneumococus, varicella, rotavirus and influenza
Term
the process of introducing an antigen into the body and naturally allowing imminty agains a disease to develop
Definition
immunization
Term
develops when an antigen is given in the form of a vaccine
Definition
active immunity
Term
a vaccine that contains the killed version of the microorganism that causes a diseas but is still capable of inducing the human body to prodcue antibodies
Definition
killed or inactivated virus vaccine
Term
a toxin produced by the microorgansim that causes a disease is treated to weaken its toxic effects but retain its antigenicity
Definition
toxoid
Term
a vaccine that contains an attenuated from of the microorgansim that causes a disease
Definition
live virus vaccine
Term
DNA from two or more sources is combined to genetically alter an organism for use in vaccines
Definition
recomvinant forms
Term
a combination fo weak antigen joined with a strong antigen as the carrier to increase the immune response to the weaker antigen
Definition
conjugated forms
Term
boosters are required for _ type vaccines
Definition
toxoid, recombinant forms and conjugated forms
Term
serious reactions t vaccines that occur in rare instnaces
Definition
anaphylaxis, encephalopathy, bacterial neuritis, chronic arthritsm thrombocytopenia purpura and death
Term
most vaccines for infants and children are started between ages _
Definition
2 and 18 months
Term
It is recommended by the CDC that all adults age 65 and older receive the _ vaccine
Definition
pneumoccal polycasscharide
Term
Any patient who received one dose of PPSV23 prior to age 65 should have a second dose at least _ after the first dose was received
Definition
5 years
Term
contraindications for immunizations may include an acute illness with
Definition
high fever, a hypersensitivity reaction to specific vaccine components, immunoglobulin therapy in the past 3 to 6 months, cancer treatment, and pregnancy
Term
optimal immune function depends on:
Definition
intact skin and mucous membrane barriers, adequat blood cell production and differentiation, a functional system of lymphatics and the spleen and the ability to differentiate foreign tissue and pathogens from normal body tissue flora
Term
proper _ are improtant in maintaining an effective immune system
Definition
nutrition, adequate exercise, good night's sleep
Term
while _ exercise seems to enhance immunity _ may reduce immune function, leaving a window of opportunity for infection during recovery phase
Definition
moderate, strenuous
Term
Individuals who are deprived of NREM sleep can experience _ and have increased susceptibility to infection
Definition
immunosuppression
Term
_ are a core part of the management of alterations in immune function
Definition
NSAIDs, corticosteroids
Term
the major targes of most bilogic therapies are
Definition
cytokines, b cells and co stimulation molecules
Term
HIV may use acupuncture to alleviat symptoms such as
Definition
fatigue, insomina, night sweats and minimize side effects of antiretroviral medications
Term
the only immunoglobulin with the ability to cross the placenta
Definition
IgG
Term
maternal IgG disappears when the infant is
Definition
6 to 8 months
Term
Mature levels of IGG are reached at _ years of age
Definition
7 to 8
Term
in the older adult _ are less responsive to antigens, while _ produce fewer antibodies
Definition
T cells, B cells
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