Cellular Regulation Flashcards

1
Q

Adaptive Immunity

A
  • Uses antigen antibody interactions to neutralize, eliminate or destroy foreign proteins.
  • 7 steps
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2
Q

Autoimmunde Disorders affect …

A
  • Brain, Bones, Muscles, Skin, Lungs, Nerves, GI, Blood, Thyroid
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3
Q

Triggers for Autoimmunde Disorders

A
  • Stress
  • Hormones
  • Metals
  • Food antigens
  • Pesticides and poisons
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4
Q

Lupus Erythematosus

A
  • Periods of exacerbations and remissions. Lupus can be difficult to diagnose because of the vague presentation and early manifestation.
  • Discoid / Systemic
  • Systemic: Affects CT of multiple organs and can lead to organ failure
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5
Q

Drugs for SLE

A
  • NSAIDS
  • Corticocosteroids: More potent than NSAIDS, long term and more side effects ( Cushings ) = Prednisone
  • Antimalarial: Decreases absorption of UV light ( Loss of centeral vision )
  • DMARDS : Long term
  • Monoclonal Antibodies
  • Janus Kinase Inhibitors: Blocks the stimulation of the production of proinflammatory cytokines
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6
Q

Discharge for SLE

A
  • Pneumonia and annual influenza vaccines are recommended
  • Both physical and emotional stress can exacerbate SLE
  • Sunlight is known to worsen the rash of SLE
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7
Q

AChE inhibotors

A
  • Increase amount of acetlycholine avaibale to active receptors : Enhances cholinergic action
  • Do not bind directly
  • Lack sensitivity
  • Reversible: Moderate duration
  • Irreversible: Long duration
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8
Q

Reversible Cholinsterase Inhibitors
( Neostigmine )

A
  • Drug of choice for MG
  • Cannot readily cross membranes
  • Minimal effects on brain and fetus
  • Poor substrate
  • MOA: Break down acetlycholine into choline and acetic acid
  • Split is slower allowing for more AcH
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9
Q

Neostigmine

A
  • Make more ACH available
  • Brady, bronchial constriction, urinary urgency, increased glandular secretions, increased tone and motility in GI, miosis, increases force of contraction in SM
  • Toxic levels: Decrease force of contraction in muscle ( Crisis )
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