Immune System Flashcards
1
Q
Anaphylaxis
A
- caused by antibodies formed after previous exposure of allergen
- give IM epinephrine
- causes loss of vascular tone
- hypotension
- establishing intravenous access is essential
2
Q
Best illustration of natural adaptive immunity
A
- immunity by cytokines and T-lymphocytes
- doesn’t include antibodies
3
Q
Raynaud’s disease
A
- causes painful spams of fingers
- stems from stress and cold temperatures
- can occur with lupus or scleroderma
- avoid giving epinephrine
- give CCB
- wear gloves in cold
4
Q
Live-attenuated vaccine
A
- MMR
- Rotavirus
- Varicella
- smallpox
- yellow fever
5
Q
Vaccine location
A
- anterolateral thigh = vastus lateralis
6
Q
IM injection site
A
- deltoid
- ventrogluteal (side of butt)
- vastus lateralis (side of upper leg)
- DO NOT give in dorsogluteal (back of butt)
7
Q
Opportunistic infections
A
- microorganisms that typically do not cause disease but can take advantage of a weakened immune system
- ## HIV/AIDS, cancer, organ transplantation
8
Q
Oppurtunistic infections examples
A
- Kaposi’s sarcoma (cancer)
- tuberculosis
- candidiasis toxoplasmosis
- cryptococcal meningiti
- cytomegalovirus (CMV) infection
- organ transplant
- Pneumocystis pneumonia
- Mycobacterium avium complex (MAC) infection
9
Q
Immune changes in elderly
A
- increase autoimmune responses
- causes higher risk for illness
10
Q
Toxoplasmosis
A
- parasitic infection in immunocompromised client
- AIDS/HIV clients at risk
11
Q
Cytomegalovirus
A
- viral infection that affects organs
- occurs after organ transplant or chemotherapy
12
Q
Graft/organ rejection
A
- graft rejection happens after organ transplant
- rising AST/ALT/bilirubin is concerning
- tachycardia, fever, flank. pain
13
Q
Older adult immune system
A
- increased autoimmune response
- T and B cells decrease
- Lymph tissue decrease
- ciruclating lymphocytes decrease
14
Q
Malignant hyperthermia
A
- caused by anesthesia
- Succinylcholine
- treat with Dantrolene
- skeletal muscle relaxant
15
Q
Lactic acid
A
- high level can indicate sepsis
- collect before giving antibiotics