Chapter 49 Flashcards

1
Q

Antigens (foreign proteins)

A

from an invading organism; specific information is imprinted into a cellular “memory bank” of the immune system; the body can then effectively fight any future invasion by that same organism by mounting an immune response

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2
Q

Antibodies

A

immunoglobulin molecules that have antigen-specific amino acid sequences

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3
Q

Immunoglobulins

A
  • glycoprotein molecules synthesized by the humoral immune system for the purpose of destroying all substances that the body recognizes as foreign
  • concentrated preparation containing predominantly immunoglobulin G and is harvested from a large pool of blood donors
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4
Q

Artificial Active immunization

A
  • The body is exposed to a relatively harmless form of an antigen.
  • The immune system is stimulated and “remembers” this antigen if subsequent exposures occur.
  • Does not cause a full-blown infection
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5
Q

Natural Active Immunization

A

person acquires immunity by surviving the disease itself and producing antibodies to the disease-causing organism

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6
Q

Artificial passive immunization

A
  • administration of serum or concentrated immunoglobulins
  • The inoculated person is given the substance needed to fight off the invading microorganism.
  • This type of immunization bypasses the host’s immune system.
  • Example: immunization with tetanus immunoglobulin, hepatitis immunoglobulin, rabies immunoglobulin, and snakebite antivenin
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7
Q

Natural passive immunization

A

-antibodies are transferred from the mother to her infant in breast milk or through the bloodstream via the placenta during pregnancy

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8
Q

Biological Antimicrobial Drugs

A
  • Also called biologicals
  • Antitoxins
  • Antisera
  • Toxoids and vaccines (immunizing biologicals)
  • Used to prevent, treat, or cure infectious diseases
  • Toxoids and vaccines are known as immunizing biologics, and they target a particular infectious microorganism.
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9
Q

Toxoids

A
  • Antigenic (foreign) preparations of bacterial exotoxins
  • Detoxified with chemicals or heat
  • Weakened or “attenuated”
  • Cannot revert back to a toxic form
  • Stimulate one’s immune system to produce a specific antibody
  • Artificial active immune response
  • These antibodies protect against future exposures.
  • Example: diphtheria and tetanus caused by toxin-producing bacteria
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10
Q

Vaccines

A
  • Suspensions of live, attenuated (weakened) or killed (inactivated) microorganisms
  • These slight alterations in the bacteria and viruses prevent the person injected from contracting the disease
  • Also stimulate the production of antigens against a -specific antibody
  • Vaccinations with live bacteria or virus provide lifelong immunity.
  • Vaccinations with killed bacteria or virus provide partial immunity, and booster shots are needed periodically.
  • Example: influenza and pneumonia vaccines
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11
Q

Antibody Titer

A
  • Measure of how many antibodies to a given antigen are present in the blood and is used to assess whether enough antibodies are present to protect the body effectively against the particular pathogen
  • Sometimes the antibody levels decline over time.
  • Booster shot: another dose of the vaccine is given to restore the antibody titers to a level that can protect the person against the infection
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12
Q

Passive Immunization

A
  • Serum or concentrated immunoglobulins from humans or animals are injected into a person.
  • The substances needed to fight off invading microorganisms are given directly to a person.
  • The immune system is bypassed
  • Short-lived compared with active immunization but works faster
  • Passive immunization lasts only until the injected immunoglobulins are removed from the person’s immune system by the reticuloendothelial system.
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13
Q

Antitoxins

A

purified antiserum that is usually obtained from horses inoculated with the toxin

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14
Q

Passive Immunizing Drugs: Examples

A
-Antivenins
         Pit viper, coral snake
         Black widow spider
-Hepatitis B immune globulin
-Immunoglobulin, various forms
-Rabies immunoglobulin (human)
-Rho(D) immune globulin (RhoGAM)
-Tetanus immunoglobulin
-Varicella-zoster immunoglobulin
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15
Q

Active Immunization Indications

A
  • Prevents infection caused by bacterial toxins or viruses
  • Provides long-lasting or permanent immunity
  • “Herd immunity”
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16
Q

Passive Immunization Indications

A
  • Antitoxins, antivenins, immunoglobulins
  • Minimizes effects of poisoning by the venoms of spiders and certain snakes
  • Provides quick immunity before a person’s own immune system has a chance to make antibodies (such as in cases of exposure to hepatitis B or rabies viruses)
17
Q

Active Immunizing Drugs

A
  • Diphtheria and tetanus toxoids and acellular pertussis vaccine (adsorbed)
  • Haemophilus influenzae type b conjugate vaccine
18
Q

Influenza Vaccine

A
  • Needs to be given each year before the influenza season begins
  • Single most important influenza control measure
  • FluMist is given intranasally, whereas the others are given intramuscularly.
  • CDC: all people older than 6 months of age should receive the influenza vaccine.
  • Newer formulations of the influenza vaccine: “high-dose” Fluzone, which is specifically indicated for older adults
19
Q

Passive Immunizing Drugs

A
  • Hepatitis B immunoglobulin
  • Immunoglobulin
  • Rh0(D) immunoglobulin
  • Rabies immunoglobulin
  • Tetanus immunoglobulin
  • Varicella-zoster immunoglobulin
20
Q

Minor adverse effects

A

Fever, minor rash, soreness at injection site, itching, adenopathy

21
Q

Severe adverse effects

A

Fever higher than 103° F, encephalitis, convulsions, anaphylactic reaction, dyspnea, others

22
Q

Minor reactions

A

Treated with acetaminophen and rest

23
Q

Serious or unusual reactions

A
  • Serum sickness

- Report serious or unusual reactions to the Vaccine Adverse Event Reporting System (VAERS)

24
Q

Nursing Implications

A
  • Assess previous reactions and responses to immunizations.
  • Assess for contraindications, including immunosuppression
  • Before giving any drug, recheck the specific protocols for administration and schedules for administration.
  • Encourage parents of young children to keep a journal of the child’s immunization status, with dates of immunizations and reactions, if any.
  • If discomfort occurs at the injection site, apply warm compresses and give acetaminophen.
  • Do not give aspirin to children