Altered immunity review Flashcards

1
Q

First line of defense

A

Non specific immunity - physical, mechanical, and biochemical barriers (normal flora, secretions, etc)

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2
Q

2nd line of defense

A

Inflammatory response to injury, infection - increased capillary permeability, pain, vasodilation, increased chemical mediators

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3
Q

components of inflammatory response

A

Plasma protein systems (complement, clotting, kinin)

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4
Q

complement system

A

Can destroy bacteria directly and activate other components of inflammatory responses

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5
Q

site of mast cells

A

Found in connective tissues; release biochemical mediators (histamine, bradykinin, cytokines, etc)

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6
Q

Inflammatory mediators

A

Histamine, bradykinin, prostaglandins

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7
Q

lymphatic system

A

Body-wide immune system (thymus, spleen, nodes, tonsils); circulates lymphocytes, B and T cells

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8
Q

anaphylaxis

A

Systemic, massive response to allergen, leads to third spacing, which leads to laryngeal edema, hypovolemia, shock

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9
Q

systemic signs of infection

A

Fever, leukocytosis (shift to the left), increased chemotaxis

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10
Q

cytokines

A

Produced by macrophages and lymphocytes in response to microorganisms or inflammatory products

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11
Q

coagulation system

A

Stops bleedings, prevents infection, base for healing

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12
Q

antibodies

A

Immunoglobulins that are specific to an organisms

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13
Q

leukocytosis

A

Increased WBCs (mainly neutrophils) with shift to the left

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14
Q

allergy; autoimmunity; alloimmunity

A

environment, self, foreign tissue

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15
Q

autoimmune diseases

A

DM1, etc

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16
Q

Type 1: IgE-mediated hypersensitivity reactions

A

Most common allergies (hay fever, food, etc)

17
Q

Exudative fluids

A

Serous (early infection), fibrinous, purulent (bacterial), hemorrhagic

18
Q

more than half of healthcare associated infections occur

A

outside of the ICU

19
Q

Most healthcare associated infections can be

A

prevented

20
Q

health care worker exposure to blood and body fluids requires assessment for prophylaxis within

A

72 hours

21
Q

Patient with TB are considered non-infective if they’ve had 3

A

consecutive negative samples daily

22
Q

virulence

A

potency which is measured by how much toxin or how many microbes are need to kill the host

23
Q

assessment for sepsis

A

SBP less than 100
RR more than 22
change in mental status