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40 Cards in this Set

  • Front
  • Back
What is immunity?
A physiological process that provides an individual with protection or defense from disease.
What is the optimal human body response?
cells of the immune system seek out and destroy damaged cells and foreign tissue while recognizing and preserving host cells.
What functions does an optimal human body response do?

>defends and protects the body from infection which is an invasion of the body tissue by microorganisms


>removes and destroys damaged or dead vells


>identifies and destroys malignant cells, thereby preventing their further development into tumors

The Immune system is activated by which external agents?

>microorganisms


>small lacerations


>bruises


>burns


>surgeries


>systemic disease


all activate a nonspecific response to prevent or limit the entry of invaders to limit the extent of the damage and reduce the work of the immune system

When the inflammatory response cant destroy organisms a more specific response happens call the _______?
Immune Response
What does the effectiveness of the immune response depend on?

the ability to recognize the difference between normal host and foreign.


(Chemo can not identify between good or bad cells , kills all)

Leukocytes
WBC that come from stem cells in the bone marrow- primary cell response in nonspecific and specific immune response that detect, attack, and destroy anything foreign.
Leukocytosis
increased amount of leukocytes in the blood when there is an infection
Leukopenia
decrease leukocytes and suppressed bone marrow
What are the three types of leukocytes?

>Granulocytes-60-80% of leukocytes, protect body from harmful microorganisms, live only hours to days


>Monocytes-largest leukocyte and activate immune response against chronic infection like TB, viral infection(eat viruses)


>Lymphocytes-from bone marrow monitor body for cancer cells

What are the three types of granulocytes ?

>Neutrophils-first at invasion, last 6-10 hours


>Eosinophils- found in lungs and GI tract, 30 minutes to half life of six days(parasitic worms)


>Basophils- contain protein and chemicals like heparin, histamine, slow reactivity substance of anaphylaxis, leukotrienes(allergic response)

Phagocytes
a WBC that ingests and destroys microorganisms and cell debris along with other particles in the blood(vaccum)

Macrophages -mature monocyte


Dendritic cells-star shaped

are mediators of immunity


(monocyte eats infections)

What are the three types of lymphocytes?

>Tcells- destroy viruses and bacteria and the cytotoxic Tcells attack malignant cells; responsible for rejection of transplanted organs an grafted tissue


>Bcells and NK cells- all of their actions being closely interrelated even through they are stationed in different parts of the body

What is the normal WBC count?
4,500-10,000
What could an elevated WBC count mean?

>acute infection


>leukemia


>sickle cell

What could a suppressed WBC count mean?


>anemias


>viral infection


>lupus


>RA

What does the lab WBC give you?
the total number of leukocytes circulating
What is the differential count?
portion of the total represented by each type of leukocyte
Acquired immunity
resistance to an antigen resulting from previous exposure
Antigen

protein marker on the surface of cells that identifies the cell as self or non-self and stimulates the production of antibodies that will neutralize or destroy the unwanted cell


(Isis)

Antibodies

>molecules that bind with antigen and inactivate it (military)


>5 classes of antibodies called immunoglobulins (used to treat hep c)

Lymph nodes

small, round or bean shaped with clear protein fluid. Filters foreign products or antigens from the lymph.


House and support proliferation of lymphocytes and macrophages

What happens when the first line of defense is breached in the body?

Sends the body into the inflammatory response


-after invader is neutralized and eliminated process of healing is initiated

When does the immune system mature?

In late childhood (6-8 years old)


>6-8 months infants lose the immunity they had from their mothers

Allergic reaction
hypersensitivity reaction-immune response that leads to tissue damage
What are the four types of allergic reactions?

>Immediate-anaphylaxis


>Cytotoxic- transfusion reaction


>Immune complex-autoimmune disorders


>Delayed type hypersensitivity-tissue damage delayed 24-48 hrs. after exposure, contact dermatitis

Auto immune disorders

lupus, RA , MS (destroy myelin sheath),scleroderma


>some of these diseases can go into remission while pregnant

Prevention from immune issues?

>Prevent immune disorders themself


>vaccines


>stay away from things that can suppress immune

What can you educate people about with immunity?

>Vaccines


>nutrition


>weight


>stress


>alcohol


>drugs


>cigarettes


>unprotected sex

Immunizations

introduce an antigen into the body allowing immunity against a disease to develop naturally.


>active-antibody given when immunized


>passive-produced in a human or animal and given to a child

Education about vaccine reaction and severe reactions

>Erythema, swelling, pain, fever, fussiness, irritable


>severe reaction-edema, petechiae, ulceration, 2-8 hours

What are some contraindications with vaccines?

>high fever


>pregnancy


>immunoglobulin therapy in last 3-6 months

Independent nursing interventions



>nutrition


>sleep


>exercise


>stress reduction


>healthy lifestyle

Collaboration nursing intervention

>Pharmacy


-antibiotic


-antiinflammation


-immunization

Suppressed Immune Response Risk Factors

>Age


>health status


>Enviroment


>personal factors and lifestyle

Age risk factors

Infants


>maternal antibodies provide protection


>infants own antibodies production is immature


>increase risk for infection when maternal antibodies begin to die


Edlerly


>decrease production of lymphocytes and immunoglobulins

Health status risk factors

>Non immunized individuals are at risk for certain diseases


>Persons with chronic illness and cancer are more at risk for infection


>Certain drugs and medical treatments cause immunosupression

Environment risk factors

>unsanitary living conditions


>exposure to pollutants and toxins

Personal risk factors

>Genetics(primary immunodeficiency)


>lifestyle factors that increase risk for infection and disease


-poor nutrition


-high risk sexual behavior


-drug/alcohol abuse


-chronic stress