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81 Cards in this Set

  • Front
  • Back
WHAT IS THE DISTRIBUTION OF BODY WATER?
ICF-FLUID WITHIN CELLS-2/3
ECF-FLUID OUTSIDE CELLS-1/3 (INTERVASCULAR AND INTERSITITAL)
WHY DOES TBW VARIE WITH AMOUNT OF BODY FAT AGE?
B/C FAT IS HYDROPHOBIC, VERY LITTLE H20 IS CONTAINED IN FAT CELLS.
WHAT ABOUT THE TBW OF THE ELDERLY? WHAT HAPPENS TO THEIR BODY COMP?
TBW DECLINES IN RESULT OF DECR. FREE FAT MASS AND MUSCLE, AS WELL AS ABILITY TO REG NA AND H20 BALANCE.
TBW IN LEAN VS. OBESE ADULT?
LEAN ADULTS HAVE MORE TBW WHICH PUT OBESE AT GREATER RISK FOR DEHYDRATION
WHAT CAUSES WATER MOVEMENT BETWEEN PLASMA AND INTERSITITIAL FLUID?
HYDROSTATIC AND ONCOTIC PRESSURE
WHAT PUSHES WATER INTO INTERSTITIAL SPACE?
CAPILLARY HYDROSTATIC PRESSURE
WHAT PULLS WATER BACK INTO INTERSTITIAL SPACES?
INTERSTITIAL ONCOTIC PRESSURE
WHAT PUSHES WATER INTO CAP?
INTERSTITIAL HYDROSTATIC PRESSURE
WHAT PULLS WATER BACK INTO CAP?
CAP ONCOTIC PRESSURE
WHAT IS EDEMA?
EXCESS ACCUMULATION OF FLUID WITHIN INTERSTITIAL SPACES
LOCALIZED EDEMA
LIMITED TO A SITE OF TRAUMA
NORMAL K+ LEVELS
3.5-5.0
LIVER/SKELETAL MUSCLE
NORMAL CA LEVELS
118-132
CNS
NORMAL NA+ LEVELS?
135-145
CNS
1ST LOD
INNATE RESISTANCE, IN PLACE AT BIRTH,PROTECTS FROM INVASION BY PATHOGENS
3RD LOD
ADAPTIVE IMMUNITY, TARGETS PARTICULAR INVADING MICROORG AND DESTROY. INVOLVES MEMORY
2ND LOD
INFLAMMATORY RESPONSE, PROTECTS BODY FROM FURTHER INJ/INFECTION AND PROMOTES HEALING
INCREASE STICKINESS TO ENDO CELLS AND CAUSE WBC AND PLATE;ETS TO ACCUM ON VESSEL WALL?
ADHESION MOLECULES
1ST TO INFLAM SITE, MATURE CELL, REMOVES DEBRIS AND DEAD CELLS IN STERIL LESIONS (BURNS)
NEUTROPHILS
IMMATURE CELL, LARGEST-PRODUCED IN BONE MARROW, ENTER CIR SYSTEM, MIG TO IMFLAMM SITE THEN BECOME MACROPHAGES
MONOCYTE
MATURE CELL, INVADES 24 HRS LATER TO REPLACE NEUTROPHILS
MACROPHAGE
BODYS PRIMARY DEFENSE AGAINSTS PARASITES(WORMS)
ESINOPHILS
RECOGNIZA AND ELIM CELL INFECTED WITH VIRUSES AND ABNORMAL HOST CELLS (CANCER)
NATURAL KILLER CELLS
4 EXUDATES
SEROUS, FIBRINOUS, BACTERIAL, HEMORRHAGIC
SEROUS EXUDATE
WATERY LIQUID, EARLY OR MILD INFLAM (EX. BLISTER)
FIBRINOUS EXUDATE
THINK AND CLOTTED (EX, PNEUMONIA)
BACTERIAL EXUDATE
PUS
HEMORRHAGIC EXUDATES
BLOOD
RELEASED FROM NEUTROPHILS AND MACROPHAGES, ENDOGENOUS PYROGEN
FEVER
INCREASE IN # OF CIRC WBC
LEUKOCYTOSIS
PRODUCTS OF LIVER INCREASE
PLASMA PROTEIN SYNTH.
ANTIGEN
FOREIGN ON NON SELF, REACTS WITH ANTIBODIES OR ANTIGEN RECEP ON B AND T CELLS
ALLERGEN
ANTIGEN TAHT INDUCE AND ALLERGIC REACTION
ANTIBODY
PRODUCE BY MATURE B CELLS IN RESP TO A CHALLENGE BY AN ANTIGEN
B LYMPHOCYTES
ENTER BLOOD- MATURE IN BONE MARROW AND HIDE OUT IN LN. PRODUCE ANTIBODIES THAT INJECT ANTIGEN
T LYMPHOCYTES
ATTACK ANTIGEN DIRECTLY, MATURE IN THYMUS
ANTIBODY PRIMARILY RESPONSIBLE 4 PROTECTION AGAINST MANY BACTERIA AND VIRUSES (T CELLS)
HUMORAL IMMUNITY
IgG
MOST ABUNDANT, PROTECT AGAINST INFECTION
IgE
MEDIATOR OF COMMON ALLERGIC RESPONSES
IgM
LARGEST 1ST ANTIBODY PRODUCED DURING INITIAL RESP 2 ANTIGEN
IgD
ANTIGEN RECEP ON SURFACE OF EARLY B CELLS
ATTACK AND KILL TARGET DIRECTLY. TARGETS INCLUDE CELLS IFECTED BY VIRUSES AND CANCER
T CELLS
REMEMBERS THE ANTIGEN AND RESPONDS QUICKER AND EFFICIENTLY WHEN PATHOGEN INVADES AGAIN
MEMORY CELL
ACTIVE ACQUIRED
NATURAL EXPOSURE OR AFTER IMMUNIZATION
PREFORMED ANTIBODIES TRANSFERRED FROM DONOR TO RECIPIENT. (MOM TO FETUS)
PASSIVE ACQUIRED
CBC
COMPLETE BLOOD COUNT, INC. WBC= INFECTION!
EXCESS OR INAPPROPRIATE ACTIVATION OF IMMUNE RESPONSE, BODY DAMAGED BY IMMUNE RESPONSE RATHER THAN THE ALLERGEN
HYPERSENSITIVITY
TYPE 1
"ALLERGIC REACTIONS"-HISTAMINE AFFECTS TARGET CELLS
"TISSUE SPECIFIC" IgG OR IgM ATTACK ANTIGENS ON CELL SURFACES; ENVIRONMENTAL ANTIGENS
TYPE 2
IMMUNE COMPLEX-MEDIATED
TYPE 3
OCCURS AFTER IV ANTIBOTICS, FOOD, DRUGS, AND INSECT VENOMS, TYPE 3
SERUM SICKNESS
"CELL MEDIATED" MEDIATED BY T LYMPH AND DONT INVOLVE ANTIBODY, TC CELLS ATTACK AND DESTROY CELLULAR TARGETS DIRECTLY.
TYPE 4
ALLERGIC RX FROM POISON IVY, GRAFT REJECTS,DELAYED TYPE, PPD TEST 4 TB, CONTACT DERM
TYPE 4
"BODY TURNS ON SELF", IMMUNE SYSTEM ATTACKS SELF ANTIGEN; SELF TOLERANCE BREAKS DOWN IMMUNE SYSTEM DESTROYS BODY TISSUE.
AUTOIMMINITY
EXAMPLE OF THIS; LUPUS, GRAVES DISEASE, MYASTHENIA, GRAVES
AUTOIMMUNITY
FAILURE OF THE IMMUNE OR IMFLAMM RESP TO FUNCTION NORMALLY
IMMUNE DEFICIENCY
causes by genetics (from birth), most are result of single gene defect, not inherited
primary (congenital) immune deficiency
most common immune def. caused by another condition
secondary (acquired)
transmitted by body fluids-sexual contact, breast milk, blood 2 blood contact, transfusions destroys helper t cells, TH count <200
AIDS
MALFORMATION 21ST CHROMOSOME-ZYGOTE CONTAINS 3 CHROM INSTEAD OF 2.
TRISOMY 21 (SOWN SYNDROME)
DELETION OR ABNORMAL X CHROMO 45
TURNERS SYNDROM
AFFECTS ONLY GIRLS
TURNERS SYNDROME
99% SPONTANEOUSLY ABORTED- DONT MAKE IT TO BIRTH.
TURNERS SYNDROME
1 OR MORE EXTRA X CHROMOSOME
KLINEFLETERS SYNDROMNE
AFFECTS ONLY MALES
KLINEFLETERS SYNDROME
ASSOCIATED WITH PARENTAL AGE
KLINEFLETERS SYNDROME
TALL LEAN BODY, NORMAL INTELLECT. S/S GYNECOMASTIA-MEN DEVELOP BREASTS,STERILIL
KLINEFLETERS SYNDROME
METAB DISORDER, DEFECT IN ENZYME THAT PHENYLALANINE HYDROXYLASE THAT METAB PHENYLALANINE
PKU
CONNECTIVE TISSUE DISORDER-CHROM 15
MARFANS SYNDROME
LONG SKINNY FINGERS, ARMS
MARFANS SYNDROME
MONITOR GROWTH, DEVEL, AND VISION, CARDIAC VALVE REPLACEMENT, MAINTAIN NORMAL BP
MARFANS SYNDROME
NO COLOR, ABSENCE OF TYROSINASE,NEEDED FOR MELONIN PROD. BOTH PARENTS CARRIERS
ALBNISM
VISION PROB. TRANSILLUMINATION (BLIND) NO MELANIN
TYPE 1 ALBNISM
LESS PIGMENTED- NO VISION PROB
TYPE 2 ALBNISM
INTERRUPTION OF DEVEL IN UTERO, RISK FOR ASP AND MALNUTRITION
CLEFT LIP/PALATE
MONITOR FOR EAR INFECTION AND HEARING LOSS
CLEFT LIP/PALATE
RARE INHERITED DISEASE CAUSED BY DEGENERATION IN THE CEREBRAL CORTEX AND THE CASAL GANGLIA; DEFECT ON CHROM 4
HUNTINGTONS DISEASE
EVIDENT B/W 22-25 YEARS OF AGE, LIFE SPAN 10 YRS, ALL ETHNIC GROUPS, IF INHERITED FROM FATHER, ONSET IS LATER IN LIFE
HUNTINGTONS DISEASE
S/S CHOREIFORM- RAPIJ, JERKY BODY MOVEMNET. ATHETOSIS- SLOWER MOVEMENTS THA NCHOREIFORM
HUNTINGTONS DISEASE
AN INHERITED DISEASE THA CAUSES THINK STICKY MUCUC TO BUILD UP IN LUNGS AND DIGEST TRACT
CYSTIC FIBROSIS
INVOLVES PANCREATIC, REP, LIVER, GI, MOSTLY CAUCASIANS
CF