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40 Cards in this Set
- Front
- Back
What is immunity?
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A physiological process that provides an individual with protection or defense from disease.
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What is the optimal human body response?
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cells of the immune system seek out and destroy damaged cells and foreign tissue while recognizing and preserving host cells.
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What functions does an optimal human body response do?
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>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 |
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The Immune system is activated by which external agents?
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>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 |
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When the inflammatory response cant destroy organisms a more specific response happens call the _______?
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Immune Response
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What does the effectiveness of the immune response depend on?
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the ability to recognize the difference between normal host and foreign. (Chemo can not identify between good or bad cells , kills all) |
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Leukocytes
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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.
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Leukocytosis
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increased amount of leukocytes in the blood when there is an infection
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Leukopenia
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decrease leukocytes and suppressed bone marrow
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What are the three types of leukocytes?
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>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 |
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What are the three types of granulocytes ?
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>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) |
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Phagocytes
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a WBC that ingests and destroys microorganisms and cell debris along with other particles in the blood(vaccum)
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Macrophages -mature monocyte Dendritic cells-star shaped |
are mediators of immunity (monocyte eats infections) |
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What are the three types of lymphocytes?
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>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 |
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What is the normal WBC count?
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4,500-10,000
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What could an elevated WBC count mean?
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>acute infection >leukemia >sickle cell |
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What could a suppressed WBC count mean?
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>viral infection >lupus >RA |
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What does the lab WBC give you?
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the total number of leukocytes circulating
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What is the differential count?
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portion of the total represented by each type of leukocyte
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Acquired immunity
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resistance to an antigen resulting from previous exposure
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Antigen
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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) |
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Antibodies
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>molecules that bind with antigen and inactivate it (military) >5 classes of antibodies called immunoglobulins (used to treat hep c) |
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Lymph nodes
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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 |
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What happens when the first line of defense is breached in the body?
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Sends the body into the inflammatory response -after invader is neutralized and eliminated process of healing is initiated |
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When does the immune system mature?
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In late childhood (6-8 years old) >6-8 months infants lose the immunity they had from their mothers |
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Allergic reaction
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hypersensitivity reaction-immune response that leads to tissue damage
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What are the four types of allergic reactions?
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>Immediate-anaphylaxis >Cytotoxic- transfusion reaction >Immune complex-autoimmune disorders >Delayed type hypersensitivity-tissue damage delayed 24-48 hrs. after exposure, contact dermatitis |
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Auto immune disorders
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lupus, RA , MS (destroy myelin sheath),scleroderma >some of these diseases can go into remission while pregnant |
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Prevention from immune issues?
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>Prevent immune disorders themself >vaccines >stay away from things that can suppress immune |
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What can you educate people about with immunity?
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>Vaccines >nutrition >weight >stress >alcohol >drugs >cigarettes >unprotected sex |
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Immunizations
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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 |
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Education about vaccine reaction and severe reactions
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>Erythema, swelling, pain, fever, fussiness, irritable >severe reaction-edema, petechiae, ulceration, 2-8 hours |
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What are some contraindications with vaccines?
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>high fever >pregnancy >immunoglobulin therapy in last 3-6 months |
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Independent nursing interventions |
>nutrition >sleep >exercise >stress reduction >healthy lifestyle |
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Collaboration nursing intervention
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>Pharmacy -antibiotic -antiinflammation -immunization |
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Suppressed Immune Response Risk Factors
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>Age >health status >Enviroment >personal factors and lifestyle |
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Age risk factors
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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 |
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Health status risk factors
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>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 |
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Environment risk factors
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>unsanitary living conditions >exposure to pollutants and toxins |
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Personal risk factors
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>Genetics(primary immunodeficiency) >lifestyle factors that increase risk for infection and disease -poor nutrition -high risk sexual behavior -drug/alcohol abuse -chronic stress |